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    UNIT 2: WORKING WITH SERVICE

    USERS IN CARE SETTINGS

    (LEVEL 3)

    Learning outcomes

    By completing this unit candidates will explore how to form good relationships with service users

    and how to value people as individuals. They will recognise how stereotyping affects individuals

    and how their own prejudices can affect relationships. Candidates will demonstrate knowledge ofthe different forms of communication and the constraints on effective communication. They willdemonstrate skills in effective communication with a service user and recognise how to support

    service users through interactions. They will be able to evaluate own skills during the interactionand identify areas for improvement.

    Assessment objectives Knowledge, understanding and sk il ls

    1 Describerelationships withservice users thatvalue them asindividuals

    Different ways that people can be identified:

    age

    gender

    appearance

    place of residence

    needs

    Factors that contribute to establishing and maintaining goodrelationships:

    respect

    focusing on the individual

    trust

    confidentiality

    effective communication providing choice

    2 Recognise theeffects ofstereotyping and

    What is meant by the terms stereotypingand prejudice

    Knowing yourself and your prejudices:

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    Unit 2: Working with service users in care settings

    Assessment objectives Knowledge, understanding and sk il ls

    2 Cont.

    Recognise theeffects ofstereotyping andprejudice on serviceusers

    verbal abuse, eg gossiping

    racial abuse environmental abuse

    3 Review the differentways ofcommunicating withservice users incare settings andtheir purpose

    Different ways of communicating with service users:

    verbal written

    non-verbal, eg body language

    computerised

    specific aids to communication

    Purpose:

    to give information to obtain information

    to exchange ideas

    to obtain views

    to give instructions

    to receive instructions

    to record actions

    to record medical/social history

    Factors that contribute to establishing effective communication:

    skills

    environment

    social

    emotional

    physical, eg disabilities

    4 Recognise theeffects of barriersand influences oncommunication

    Barriers to communication:

    environmental

    social

    inappropriate language

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    Unit 2: Working with service users in care settings

    Assessment objectives Knowledge, understanding and sk il ls

    5 Plan an interaction

    with a service userto establish andmaintain aneffectiverelationship

    Plan in terms of:

    aim objectives

    factors that enhance effective interaction

    factors that inhibit effective interaction

    communication and language needs and preferences

    physical, intellectual, social, and emotional needs

    how to minimise constraints

    timescales skills checklist

    Stages of an interaction:

    introduction

    main contact

    winding up the interaction, including reflection

    Use of skills:

    active listening

    clarifying

    summarising

    paraphrasing

    open questions

    closed questions clarifying/confirming

    empathy

    body language

    positioning

    6 Interact with an

    individual serviceuser to form aneffectiverelationship,evaluating theeffectiveness of thei t ti

    One-to-one interaction:

    to obtain information to give information

    to exchange ideas/views

    to reflect on past

    provide active support

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    Unit 2: Working with service users in care settings

    Assessment

    This unit is centre-assessed and externally moderated.

    In order to achieve this unit candidates must produce a portfolio of evidence showing that they canmeet all the assessment objectives.

    Portfolios of work must be produced independently. They will need to be made available, togetherwith witness statements and any other supporting documentation, to the OCR Visiting Moderatorwhen required.

    Centres must confirm to OCR that the evidence produced by candidates is authentic. An OCRCentre Authentication Form is provided in the Centre Handbook and includes a declaration forassessors to sign. It is a requirement of the QCA Common Criteria for all Qualifications that proofof authentication is received.

    Guidance on assessment and evidence requirements

    An OCR model assignment is available for this unit and can be downloaded from our website:www.ocr.org.uk and can also be found in the Model Assignments folder on this CD Rom.

    Examples of service users are older people in day care settings or residential homes, older people

    living in sheltered accommodation, children in playgroups or nurseries, service users withdisabilities.

    If candidates produce evidence in the context of children, the children must be between 0-8 years.Candidates need to be aware that care workers who work in childcare settings apply differentprinciples and values in their work. These are:

    the welfare of the child is paramount

    the needs, rights and views of the child are at the centre of all practice

    promoting a safe and healthy environment

    working in partnership with parents and families

    encouraging childrens learning and development

    valuing diversity

    providing equal opportunities

    fostering anti-discrimination

    maintaining confidentiality

    working with other professionals

    being a reflective practitioner

    Th l d i i l b d l l i i f d i l i l ti h th U it d

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    Unit 2: Working with service users in care settings

    Signposting to Key Skills

    The unit contains opportunities for developing the Key Skill, and possibly for generating

    portfolio evidence, if teaching and learning is focused on that aim.

    Key Skillreference

    Key Skillreference

    Key Skillreference

    C3.1a N3.1 ICT3.1

    C3.1b N3.2a ICT3.2

    C3.2 N3.2b ICT3.3

    C3.3 N3.2c

    N3.2d

    N3.3

    Mapping to National Occupational Standards

    NOS/

    NWC

    Unit Knowledgespecification

    HSC31HSC34

    Promote effective communication for and about individualsPromote the well-being and protection of children and youngpeople

    2, 3, 7-163-6

    HSC35 Promote choice, well-being and the protection of all individuals 1-9, 11, 12

    CCLD301 Develop and promote positive relationships

    CS1

    MH1

    Communicate with children and young people, and those involved with their care

    Promote effective communication and relationships with people who are troubled ordistressed

    OP1 Communicate with older people and their carers

    Resources

    The following are suggestions of resources that could be useful when delivering the unit. They areneither prescriptive nor exhaustive, and candidates should be encouraged to gather informationfrom a variety of sources.

    Books

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    Unit 2: Working with service users in care settings

    Nazarko, L. (2007)

    NelsonJones, R.(2006)

    Minett, P. (2005)

    Stretch, B. (2007)

    Thompson, N (2003)

    Thompson, N. (2002)

    NVQs in Nursing and Residential HomesBlackwell Science (UK)

    Human Relationship SkillsRoutledge

    Child Care and DevelopmentHodder Arnold

    Core Themes in Health and Social CareHeinemann

    Communication and Language: A Handbook of Theory and practicePalgrave Macmillian

    People SkillsPalgrave Macmillian

    Organisations

    If the communication is based on a setting for children and young people the information given bythe following organisations would be relevant:

    The Childrens Workforce Development Council www.cwdcouncil.org.uk

    Every Child Matters www.ecm.gov.uk

    Learners also need to be aware of:

    The Children Act 2004

    Common Assessment Framework 2006

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    Unit 2: Working with service users in care settings

    Skills For Justice Sector Skills Council: www.skillsforjustice.com

    The Guardian: www.society.guardian.co.uk

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    Unit 2: Working with service users in care settings

    OCR Level 3 Nationals in Health, Social Care and Early Years 11

    AO Pass Merit Distinction

    Candidates demonstrate that they can relatepositively to the service user during their one-to-oneinteraction and that they can maintain a basic level

    of conversation with them. The interaction lasts forten minutes and a variety of skills are demonstratedat a basic level. The evaluation of the effectivenessof the interaction is at a basic level but includes allaspects of evaluation within Assessment Objective6. There is limited evidence of analysis but there isrealistic but basic suggestions for improvements. Askills checklist is provided.

    Candidates demonstrate that they can relatepositively to the service user and engage the serviceuser in an interesting and purposeful conversation.

    They demonstrate competence, using a variety ofskills, to show understanding of key conceptsrelating to effective communication. The interactionlasts for ten minutes and a range of skills is usedconfidently. The evaluation of the effectiveness ofthe interaction shows a sound level ofunderstanding and includes all aspects of evaluationwithin Assessment Objective 6. Realistic anddetailed suggestions for improvements are given

    that reflect thoughtful observations. A skillschecklist is provided.

    Candidates demonstrate that they can relate to theservice user and engage them in purposeful,interesting and meaningful conversation. They

    demonstrate competence, confidently interactingwith the service user and using a wide range ofcomplex skills. They show a high level ofunderstanding of the key concepts relating toeffective communication, being able to apply theseindependently. The interaction lasts for ten minutes,with candidates having established an effectiverelationship with the service user. The evaluation ofthe effectiveness of the interaction shows a high

    level of understanding and includes all aspects ofevaluation with Assessment Objective 6.Candidates make reasoned judgements and morethan one perspective is used to support thejudgements made. The suggestions made forimprovements are realistic, based on thoughtfulobservations and are supported by reasonedjudgements. A skills checklist is provided.

    6

    Achievement of Assessment Objective 6 must be supported by an observation sheet/witness statement or other appropriate evidence.