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© 2014 Cumbria County Council
PRACTICE
DEVELOPMENT
Enhanced /
Advanced
Practitioners
VERSION 3 – JULY 2014
RECORD
2
This Practice Development Record is to enable your development to practice at a level where you can consistently demonstrate expert and effective practice in complex situations, assessing and managing higher levels of risk. You will demonstrate an ability to manage complex caseloads which will include the chairing of a range of meetings and offering expert support to case conferences. You will be required to model good practice setting expectations for others including taking responsibility for and becoming accountable for the practice of others, mentoring newly qualified practitioners and supervising the work of less experienced staff. You will undertake capacity building with individuals, families, communities, user groups and voluntary organisations and contribute their views on service provision to commissioners. You will engage in the development of evidence informed practice, quality assurance, staff development, management and leadership. You will be able to demonstrate your awareness and application of a range of local and national policy and procedural frameworks when undertaking safeguarding work e.g No Secrets, Multi-Agency policy and procedures, Mental Capacity Act, Deprivation of Liberties, Human Rights Act (1998), Sexual Offences Act (2003), Police and Criminal Evidence Act (1984), Multi-Agency Risk Assessment Conferences (MARAC), Independent Safeguarding Authority and Multi-Agency Public Protection Arrangements (MAPPA). In addition, you will be able to demonstrate the required level of skills and knowledge to undertake safeguarding investigations. The Practice Development Record is structured around the National 9 Core Capability Statements as identified in the Professional Capabilities Framework and in the ‘Introduction to Continued Professional Development in Cumbria’. Each capability has a set of standards that you will be able to work towards, there are some additional standards specifically for OT staff to meet registration requirements. To assist with this, some key questions have been identified to help provide the evidence as part of your ongoing practice. Please answer every question to provide evidence of fully meeting the required standards for each capability. The Evidence Log (found at the end of each core capability) will enable you to clarify how you have done this. The Evidence Log offers a variety of ways to evidence your practice. The first table (Table 1, below) is a tick box to demonstrate the range of evidence you are presenting. To complete simply tick the evidence types you have used against each question. Table 1 – At a Glance Evidence Log – please tick
Supervision Case
records Feedback
from service
users
Training
course Feedback from
observations Working
with agencies
Activities Reading/
Research Self
Reflection
Other
1
INTRODUCTION TO ENHANCED/ADVANCED PRACTITIONERS PRACTICE DEVELOPMENT
RECORD
3
The second table (Table 2 below) provides an opportunity to describe in more detail the evidence from the questions which you are answering relating to the standards and where the evidence can be found, if not answered within the Practice Development Record itself. Table 2 – Further detail Evidence Log – please describe Question No
HCPC Standard
Description of evidence
Date of evidence
Location of evidence
Signed and dated by Mentor
To complete, include the question number being answered with a description and location of evidence. There may multiple pieces of evidence for each question to record. This will need to be dated and signed off by your Mentor (your Line Manager or an agreed Mentor). Table 3 – Further Practice Development Log Area for further development
Links to Professional Capability Framework (PCF)
Support and Development Opportunities
Desired Outcomes
Date Achieved
This log is only to be used when required. This can be utilised where a practitioner may be struggling to evidence development within a core capability to demonstrate meeting the required standard. At this level evidence is required that you are more autonomous in your role and able to liaise with a wide range of professionals including more senior levels, knowledge and skills for a range of areas of practice including :- High quality assessments and reports for a range of practice in the following areas; Safeguarding Mental Health (including
dementia, DoLs, Best Interests and Capacity)
Learning Disability
Continuing Care Partnership Working Prevention/Reablement (Adults)
Early Intervention (Children’s)
Risk Assessment Advocacy
Children Looked After Moving and Handling (OT’s)
Asylum Seekers
Travelling Community Forced Marriages Teenage Pregnancy Accommodation Issues and Transitional Arrangements
Practice Development of Students and Less Experienced Staff
Use of Assistive Technology
Adaptations to the Home Environment
4
Safeguarding Adults Passport In completing this level of Practice Development you must demonstrate that you have completed and met the competencies 13-16 within the Safeguarding Adults Passport. It is your responsibility as an advanced practitioner to provide a range of evidence to demonstrate that you have met the standards required for the Practice Development Record as part of your ongoing professional development. This must be completed in conjunction with your mentor who will oversee and sign off each capability. Once signed off your Practice Development Record may be internally verified by the appropriate manager or professional lead identified by your Directorate. The successful completion of this Practice Development Record will support your evidence for registration and will also assist with planning your future learning for role and career development, which may include new job responsibilities for routes in practice, education, management and research. Completion of this Practice Development Record will enable you to keep abreast of good practice and demonstrate development but does not provide any automatic entitlement to career progression. All practitioners will be expected to complete the relevant Practice Development Record to their current post and use supervision and appraisal as an opportunity to monitor progress. These Practice Development Records will help you work to a standard of practice we expect in Cumbria. It is acknowledged that in order to develop knowledge and skills as a professional, you may wish to undertake areas of practice above your current level. In this instance this must be negotiated with your line manager and directed under close supervision Please note throughout the Practice Development Record the term ‘service user’ is used which refers to customers in Adult Social Care and children and families in Children’s Services.
5
1. What are the standards required by your professional regulator? 2. Demonstrate how you ensure that these standards are being met
within the organisation?
3. Describe a range of approaches you could use to deliver supervision and mentoring other than by one-to-one meeting with a practitioner or student.
4. Demonstrate how you have contributed to the learning and
development of others within your team or other agencies
5. Describe an area of practice or intervention where you have sought the guidance and advice from external sources and how you have applied this in practice
ENHANCED/ADVANCED PRACTITIONERS
Standards
Be able to meet the requirements of the professional regulator
Explain and promote social work/occupational therapy and decision making within and outside the organisation. Formally represent the profession on behalf of the organisation at a senior level
Ensure high quality supervision, with a range of approaches, throughout the organisation
Ensure professional social work/occupational therapy standards are maintained throughout the organisation.
Promote the positive use of workload tools; inform the organisation’s workload management and planning.
Model and help others to maintain professional/personal boundaries and skilled use of self
Maintain awareness of own professional limitations and knowledge gaps. Establish a network of internal and external colleagues from whom to seek advice and expertise.
Ensure a learning environment within the work place
Ensure work environment promotes health, safety and wellbeing of self and others.
Identify and help to resolve concerns about practice
Professionalism Identify and behave as a professional registered practitioner, committed to professional
development.
6
6. Identify and describe a range of methods have you used to promote and develop a healthy and positive learning environment for staff and students?
7
EVIDENCE LOG - PROFESSIONALISM
Supervision Case
records Feedback
from
service
users
Training
course Feedback from
observations Working
with
agencies
Activities
Reading/
Research Self
Reflection
Other
1
2
3
4
5
6
7
Question No
HCPC Standard
Description of evidence
Date of evidence
Location of evidence
Signed and dated by Mentor
8
1. Give an example of an ethical dilemma that arose in your area of responsibility and state how you balanced the individuals rights and duty of care.
2. Evaluate those main issues, dilemmas and conflicts that are likely to
impact on your area of practice from the example above.
3. Give examples of dilemmas and conflicts you have encountered and provide evidence of strategies and resources you have accessed to resolve the issues
ENHANCED/ADVANCED PRACTITIONERS
Standards Provide guidance and challenge to others on ethical issues, informed by effective
service user engagement, and contribute to the development and evaluation of human rights and ethical principles to underpin organisational governance
Provide challenge to others and ensure provision and uptake of development opportunities to enable reflection on and management of the influence and impact of own values on professional practice
Provide expert professional opinion where there are ethical dilemmas
Demonstrate confident management and arbitration of ethical dilemmas
Ensure provision of development opportunities and guidance on ethical dilemmas
Promote effective partnership working within the organisation, contributing to policies and practice that enable meaningful participation, and evaluate service user involvement.
Ensure individuals’ rights to autonomy and self-determination are promoted and advanced, contributing to the development of polices and practice to support this.
Model, identify and promote best practice, policy, procedures and training about confidentiality, informed by current evidence. Ensure data protection and safeguarding legislation is applied, and take appropriate action if necessary
Values and Ethics Apply ethical principles and values to guide practice in a professional
manner
Additional Guidelines from OT Standards Practitioners must be able to practice within the legal and ethical boundaries of
their profession
Practitioners must work in such a way as to be able to exercise a professional duty of care
9
4. Give evidence where you have used guidance from your own
organisation and from professional organisations to inform your practice when giving professional opinion to others in dealing with ethical and human rights dilemmas
5. How would you enable a practitioner to reflect on an element of their
practice which was not deemed to meet ethical principles and values
6. Identify ways in which current policy may stigmatise and increase the exclusion of service users, families and carers
7. How have or would you influence policy and practice to reduce
discrimination and promote equality and diversity for service users, families and carers
10
1. Consider the Council’s policy on equality and diversity and provide a reflective account of how you have used this in your practice, team and service.
2. Give an example where you have or might challenge anti-
discriminatory or anti-oppressive practice in a way that will contribute to the development of best practice.
3. Find out and describe the processes which could contribute to a
change in the equality and diversity policy, following an incident involving anti-discriminatory or anti-oppressive practice
ENHANCED/ADVANCED PRACTITIONERS
Standards
Promote positive approaches to diversity in the organisation, providing guidance and challenge as required.
Contribute to policy development and decision-making at local, regional and national levels
Provide expert professional advice and challenge on issues of discrimination and oppression, and contribute to the development of organisational and professional practices and procedures
Contribute to the development of best practice in use of power and authority in the organisation
oppressively
Diversity Recognise diversity and apply anti-discriminatory and anti-oppressive
principles in practice
Additional Guidelines from OT Standards Works in ways that support equality of opportunity and diversity, participation and
responsibility
Actively contributes to strategies and practice that promote service users’ and carers’ rights and participation in line with goals of choice, independence and empowerment
Understand the need to use an appropriate interpreter to assist those individuals whose first language is not English, wherever possible
11
4. Provide others with information about – the effects of discrimination, the impact of inclusion and the value of diversity.
5. How would you support others to challenge discrimination and
exclusion?
12
1. Provide evidence of how you have or would challenge the organisation or support a practitioner to challenge, where there is conflict between the right outcome for the service user and Departmental policy.
2. Cite an example where you have researched legal guidance relating to
an area of practice and describe how you have applied this and how this has affected the outcome for the service user (e,g, continuing care, court of protection, moving and handling, housing, child protection, safeguarding)
ENHANCED/ADVANCED PRACTITIONERS
Standards
Monitor practice to ensure application of the principles of social justice, social inclusion and equality, and contribute to policies and development opportunities to support them
Ensure that service practice is compliant with the law and best practice through provision of expert advice.
Facilitate challenge in situations where the interpretation of the law is neither fair nor proportionate
Provide expert advice in complex legal situations where there are competing issues, and contribute to policy and practice developments for service improvement
Monitor and report on the impact of strategies (including procurement) to promote social inclusion and diminish poverty, contributing to new approaches and practice expertise
Offer professional SW liaison and contribution to those providing independent advocacy, ensuring that conflicts of interests are addressed
Rights, Justice and Economic Well-Being Advance human rights and promote social justice and economic well-
being
Additional Guidelines from OT Standards Understand the need to provide individuals (or people acting on their behalf) with
the information necessary to enable them to make informed decisions
Offer professional OT liaison and contribution to ensure that conflict of interests where they arise, are addressed
13
3. Give an example of your practice that has demonstrated advocacy for human rights and social justice and how that has impacted on the service user
4. What approaches might you use for reporting on the impact of a new
initiative or change in service which affects the social justice and economic well-being of service users
14
1. Identify a current piece of research relating to a specialist area of practice and provide a critical analysis.
2. Demonstrate how you have used the research to inform your practice and increased knowledge in a specialist area that has benefited the practice of others and positively impacted on the service.
3. Analyse potential barriers to professional development in specialist areas of practice and explain factors to consider when selecting opportunities and activities for keeping practice and knowledge up to date
ENHANCED/ADVANCED PRACTITIONERS
Standard
Demonstrate a systematic understanding of knowledge, and a critical awareness of current problems and new insights, including those at the forefront of social work thinking in your field
Show originality in the application of knowledge, together with a practical understanding of how established techniques of research and enquiry are used to create and interpret knowledge in the discipline
Knowledge Apply knowledge of social sciences, law and practice theory
Additional Guidelines from OT Standards Demonstrates active involvement in a relevant ‘special interest group’.
Interventions are based on current research and best practice/evidence based practice. Aware of broad legal frame-works relevant to practice
Demonstrates specialist knowledge across a range of procedures in a given domain of practice and is able to share and disseminate specialist knowledge to others. May utilise research approaches to underpin and develop specialist knowledge relating to practice.
Engages in systematic CPD through reflective practice and maintains a portfolio in preparation for providing evidence for re-registration
15
1. Describe how you make use of critical reflection and analysis in your practice and demonstrate how you would promote reflective practice with other staff
2. In what ways do you regularly question and reflect on your own
assumptions and consider how these might affect practice.
3. Evaluate how practice has been improved through :- - reflection on best practice - reflection on failures and mistakes - use of audit and review
4. How do you enable others to learn?
5. How would you use reflective practice as part of your CPD?
ENHANCED/ADVANCED PRACTITIONERS
Standards
Provide opportunities for and expectations of creative practice
Model and promote a reflective practice culture.
Support and advise others about available knowledge and evidence.
Routinely provide professional opinion
Critical Reflection and Analysis Apply critical reflection and analysis to info, and provide a
rationale for professional decision-making
Additional Guidelines from OT Standards Demonstrates the capacity to provide a critical evaluation of occupational issues
in a variety of situations making use of theories and concepts as applicable (OT)
Be able to use research, audit methods, reasoning and problem-solving skills to determine appropriate actions
16
ENHANCED/ADVANCED PRACTITIONERS
Standards Provide an appropriate organisational response to identified communications
needs
Ensure practice in all settings is supported by strong communication skills
Communicate to wide range of audiences for different purposes and at different levels, including public speaking
Communicate effectively in highly charged, complex or challenging circumstance in ways which support professional decision making.
Ensure practice, policy and procedures demonstrate the importance of effective, compassionate relationships with people who use services.
Undertake complex assessments and make sound judgements for in acute situations or in the absence of complete information.
Manage risk, support professional decision making and take ‘final’ decisions.
Provide expertise in specialist field, acting as resource to team and agency to develop practice; engage in research and evaluation of practice.
Support knowledge and skills development for effective practice
Influence and negotiate community and service development with the wider organisation and commissioners
Provide organisational engagement with service user groups.
Ensure information systems and records support good practice and maintain a focus on positive outcomes for service users
Contribute to the development of the organisation’s information strategy and systems
Advise on and contribute to organisation’s information governance and ensure implementation is congruent with SW practice and legal requirements
Model and help others with appropriate information sharing
Promote use of evidence and theory to support practice in complex and changing circumstance.
Intervention and Skills Use judgement and authority to intervene with individuals,
families and communities to promote independence, provide
support and prevent harm, neglect and abuse
Additional Guidelines from OT Standards Know and understand the key concepts of the bodies of knowledge which are
relevant to their profession-specific practice
17
1. Compare the effectiveness of different communication systems in partnership working and how you would propose and implement improvements?
2. Demonstrate where you have presented an area of practice to a group
(e.g team meeting, practitioners forum, action learning set, university workshop) and how you used any feedback to inform future presentations.
3. Show how you demonstrate specialist knowledge across a range of procedures within a given domain of your area of practice.
4. How do you ensure that information is disseminated and acted upon within your team?
5. How could the department engage with service user groups in order to ensure that their views inform policy and practice?
6. Describe the role of information governance within your Directorate and state how it informs practice and the legal requirements we work to.
7. Give an example where you have supported a worker to manage risk and consider the professional options but where you have made the final decision. This could involve
helping others to understand the balance between risks and rights
use of your specialist knowledge and experience to inform decision making
use of risk related policies
Additional Guidelines from OT Standards Understand the impact of occupational dysfunction and deprivation on
individuals, families, groups and communities and recognise the importance of restoring opportunities (OT)
Able to appraise, interpret and apply suggestions, recommendations and directives to improve service
Able to develop and implement effective ways of working in networks across organisation and professional boundaries
18
8. How do you contribute to ensuring community development and citizen empowerment is embedded in your team?
9. Describe how you have encouraged a learning environment and
culture within your team that is having positive outcomes in their development opportunities
10. How would you deal with any conflict that may arise with colleagues or
managers?
19
1. Demonstrate how you have provided leadership in promoting changes in service delivery and practice to improve the quality of social care.
2. Describe how you have worked collaboratively with colleagues,
managers and other stakeholders to effect improvements in quality of service
ENHANCED/ADVANCED PRACTITIONERS
Standards
Anticipate and positively manage change in the social work/occupational therapy environment drawing on practice information and data.
Provides leadership beyond own profession – to other agencies and non-social work professionals
Ensure legal advice is taken when required.
Contribute to organisational development
Ensure capacity for trained assessors, educators and mentors for professional development pathways at all levels
Oversee performance management issues arising through training.
Ensure positive working relationships in the team, promoting strategies for collaboration and a supportive team culture
Contribute to liaison across agencies at a senior level, and ensure team culture of collaborative working
Take responsibility for in-house and external partnerships for qualifying education and CPD
Context and Organisations Engage with, inform, and adapt to changing context that shape practice. Operate within own organisational frameworks and
contribute to the development of services and organisations. Operate effectively within multi-agency and inter-professional settings
Additional Guidelines from OT Standards Provides direction, motivates and supports people to achieve the vision and
objectives for the area of responsibility
20
3. Describe a situation where legal advice has been sought and say how this has impacted on the outcome.
21
1. Explain how you promote innovation, demonstrating where you have introduced new ways of working from recognised sources of excellence e.g. Research in Practice for Adults (RIPFA), College of Social Work, Social Care Institute of Excellence (SCIE), College of Occupational Therapists (COT) etc.
ENHANCED/ADVANCED PRACTITIONERS
Standards Assure quality, effectiveness and appropriateness of supervision for the work
team and ensure supervisors are supervised
Contribute to the identification of staff development needs and their resolution
Take responsibility for a strategic overview of professional development within the workplace
Ensure individual and organisational practice is informed by current research and knowledge
Promote, articulate and support a positive social work identity.
Help to develop leadership skills in others
Initiate, plan and deliver the organisation’s response to emergent professional issues
Develop materials to support learning in practice
Lead the sharing and dissemination of good practice across partnerships
Lead arrangements for practice learning and ASYE (creating and supporting, managing supply and demand and QA)
Manage complaints and appeals arising from qualifying education and CPD
Promote a culture of ‘professional curiosity’
Professional Leadership Take responsibility for the professional learning and development of
others through supervision, mentoring, assessing, research, teaching, leadership and management
Additional Guidelines from OT Standards Assess and manage the work of OT students – facilitates learning and assesses
the practice of student Occupational Therapists and mentors and supports students and/or colleagues (OT)
22
2. Review the use of a particular intervention in an area of your specialism and deliver your findings to staff and/or student.
3. Describe how partnership working can deliver better outcomes for
people.
4. Demonstrate how you have prepared for a student placement within your setting.
5. How would you promote a culture of ‘professional curiosity’?