My service user was a 5 year old boy who could not have dairy products.

This is what I did:

1. I talked to the service user about what he liked watching and what’s his favourite colour, programme, etc. I made the conversation simple because the service user was only 5 years old. If I had asked long questions or harder words then the service user may not be able to answer because he doesn’t understand, it may cause confusion and make him feel uncomfortable.
2. I then asked what he would like to eat being aware that he cannot have dairy products. The service user did ask for chocolate spread on toast, but it contained milk. Due to the fact that the service user could not have dairy products, I had to explain to him that chocolate spread contained milk and he would have an allergic reaction to it. I empowered the service user by letting him choose what he would like to eat, but of course I had to let him know what he couldn’t have. The service user chose jam on toast and orange juice.
3. I asked the service user if he would like to pour his own juice. I empowered him because I gave him the opportunity to do this himself. This made the service user feel confident in doing things for himself.
4. I carried on talking to the service user while I was waiting for the toast to cook. I could not let the service user do his own toast because he was only 5 and it was too dangerous. The service user wanted to this himself, but I explained to him that it’s too dangerous and I would be responsible if he hurt himself.
5. Once the toast was done I put the jam on, I asked the service user if he wanted his toast cut into triangles, squares, or just as it was. I empowered the service user by letting him choose the how he wanted his toast to be cut. Again the service user could not use the knife because he may cut himself.
6. After the service user had finished eating I had to tidy up. I asked the service user if he would like to help tidy up, but he chose not to.

Overall, I think I gave the service user enough opportunity to do things for himself. Empowerment is very important in situations like this, with a 5 year old there are some dangers, and I think the service user has learnt that using a toaster by himsel is dangerous, but there are many other things he could do by himself.

Clothing Video

Getting a group of service users ready to go to bingo. Asking questions and empowering them…

For example, I asked If they wanted they wanted their coat on and gave them the opportunity to do it themself.

I think I did ok putting their coats on and shoes. However I didn’t do a lot of empowering and asking questions.

I could have asked more question, e.g. Have you been bingo before?, Did you win anything?…

I could have also empowered the service user by asking if they wanted to put their coat on, or if they wanted to put their own shoes on.

I had to be aware how flexible their arm is, maybe they had a bad arm. If the service user had a bad arm, then it is best to put their coat on from the front rather than the back in case you damage their arm even more.

Also it was cold outside so the service users had to wear their coats because they could get ill, so if the service user refused to wear their coat then we had to try and explain to them that it was cold and that they could get ill.

• Empowerment - how and why
• Skills - including practical communications, interpersonal
• Qualities - patience, sense of humour, empathy, willingness
• Mobility - disaster and evaluation
• Aids explanation - how they assist and safety
• Clothing - movie and evalution
• Aids explanation - stocking aid, button hook, velcro… etc
• Feeding - 3 pictures and evaluation
• Assessing quality of care - questionnaire to review a carer

                                          - staff observation sheet

                                          - targets you would set for improvement

My service user was a 5 year old boy who cannot have dairy products.

I talked to the service user asked if he was ok and what he had been doing. I then asked what he wanted to eat being aware that he can not have dairy products.

He asked for jam on toast and orange. So i prepared the food and asked if he wanted to pour his own juice.

I spoke to the service user while he was eating and when he had finished I asked if he wanted to help clear up.

The person who played my service user evaluated me and this is what she said.

The things I did well were:

1. keeping the conversation going
2. Letting the service user pour their own drink
3. Asked if the service user wanted to help clear up

My target for how to improve is:

Talk to the service user more about what their likes, dislikes, favourite things. Etc.

I agree with the comments I recieved and my target to improve.

Staff Observation Checklist

This would be used to observe a staff member on their behaviour, attitude, presentation and communication within the care setting. It would be based on the way they treat the service users, colleagues, and possibly visitors. It would give an idea on how to improve and what areas they need to improve on. So the observer will fill it out then set targets for the member of staff.

1. Do you feel comfortable with your care worker?

        Yes          No

2.  Do you think your care worker is friendly?

        Yes          No

3.  How much can you trust your care worker?

        1      2      3      4      5      6      7      8      9      10

4. Do you think your care worker is organised?

        Yes          Mostly     Sometimes     No

5. Do you think your care worker is patient?

        Yes          Mostly     Sometimes     No

6. Does your care worker arrive on time?

        Yes          Mostly     Sometimes     No

7. Do you think your care worker is reliable?

        Yes          No

8.  Do you feel you can do things for yourself?

        Yes          No

9.  Do you feel safe with your care worker?

        Yes          Not always      No

10. How do you feel about working with your care worker?

        Happy              Ok           Unhappy

How would this be used?

This questionnaire is given to a service user, to say how they feel about their care worker. It would give ideas to the care worker, such as if there is anything they can improve on, when they receive any feed back that highlights a carer’s weak areas. It would show if the care worker needs to be more friendly or more organised.

Feeding Aids

• Built-up comfort grip angled utensils - For people with poor grasp and people with arthritis. These utensils give people the independence at meal time. This is good because people don’t have to move their hands so much, only up and down.
• Drink reservoir - This drink reservoir delivers fluid through a side port at the bottom into a soft, silicone rubber drinking nozzle. This is an alternative to syringe feeding. Help may be needed with this, the hole is covered to stop the drink flowing and uncovered to let the drink flow. This is helpful for those who have back problems or cannot pick up a up and need someone to help them.
• Round scoop dish - This round scoop dish has feet that have a textured rubber surface that grips tabletops and helps prevent plates from sliding. This is helpful to people that

The service users would feel more proud of themselves because they have been giving the ability to feed themselves with the use of these aids. They could now feed themselves without making mess or waiting for the care worker to them.

Clothing Aids

• Dressing stick - for anyone who has difficulty bending, not much movement, or the use of one hand or arm. Help in putting on shirts and jackets, pulling up trousers or skirts, or removing socks.
• Button aid/ Zipper pull - helps the use of fingers and hands, one side has a button aid to help do buttons up, the other end has a hook to do up zips.
• Sock aid -To help put socks or stockings on. The two long loop handles are very helpful for people with limited hand function, back problems, wheelchair users or people recovering from hip or knee surgery.

Having these aids would make a service user more valuble knowing that they could do things for themselves rather than waiting around for the care worker to come and help them.

 This video shows some disasters that can happen with the mobility of service users. The care workers have not taken care of their service users properly, so therefore they are not providing good quality care.

The disasters in this video are as followed:

1. The service user has been tripped over whilst using crutches, the care worker is just standing there. The care worker should’ve been taking care of their service user, and should’ve helped her up and made sure she is ok. Also one crutch is lower than the other.
2. The service user is in a wheelchair, everyone has dumped their bags on her and the last bag has blocked her vision. They should’ve been holding their own bags, but the care worker should’ve told them not to dump their bags for the safety of the service user.
3. The care worker had let the door swing back on the service user using the zimmer frame. The care worker should’ve held the door open because the service user is not able to open the door herself.
4. The care worker walked down the stairs to far ahead of the service user. The tripod legs do not fit on the step, so this has caused the service user to have an accident, i.e. falling down the steps. The care worker should’ve helped the service user, by holding her arm and making sure she walks down the steps.
5. The wheelchair user wanted to look at a notice, the care worker should not be ignoring the service user’s rights. The service user has the right to ask to be stopped, but the care worker failed to do this.
6. The service user is using the crutches, however one is lower than the other and this is dangerous because the service user can fall over. The crutches should be the same height.
7. The service user has tried to get up the stairs using her zimmer frame, she should not be doing this alone. The care worker is not caring for the service user properly because she has left the service user at the bottom of the stairs and ran ahead. The care worker should not be letting the service user up the stairs with a zimmer frame, the service user shoul really have gone to find a lift. If a lift was unavailable then the care worker should’ve helped the service user up the stairs be careful to avoid accidents, then this would avoid her dropping the zimmer frame and having an accident.