HASCAS: Dignity through Action

1. DIGNITY THROUGH ACTION WORKSHOP (Vulnerable Adults) PART 3 Action Planning HASCAS: Dignity through Action

2. Dignity Action Plan - Definition A dignity action plan describes ‘how’ you are going to solve one or many dignity problems and includes information about ‘what’ is to happen, ‘where’ it is going to happen, ‘who’ is going to do it, ‘when’ events will take place (a timetable) and ‘how’ it will be evaluated. The same contents of plans are recognizable at all levels! HASCAS: Dignity through Action

3. Dignity Action Plan – Planning Process Steps HASCAS: Dignity through Action

4. Dignity Action Plan – Evaluation HASCAS: Dignity through Action

5. Action Planning Step 1: Identify and Describe Dignity Problems • What happened? (Relate to the Dignity Challenges) • Gather the details: • When, where and how often did [event/problem/issue] happen? • Who was involved? • What were the consequences for the vulnerable adult, staff & relatives? • Has the problem been identified before? • What was done about the problem last time? • Action Planning Step 2: Identify Causes of Dignity Problems • What are the causes of the dignity problem? • Is there anything else you need to record? HASCAS: Dignity through Action

6. Action Planning Step 3: Considering the Factors This is the most difficult part of planning. • You need to consider the FACTORS involved • (See the Workshop Pack Checklist - this will help you to think through all the details.) • Major themes of factors to consider are: • Place • Process • People Checklist from the Workshop Pack HASCAS: Dignity through Action

7. Action Planning Step 3: Considering the Factors This is the most difficult part of planning. • You need to consider the FACTORS involved • (See the Workshop Pack Checklist - this will help you to think through all the details.) • Major themes of factors to consider are: • Place • Process • People Checklist from the Workshop Pack Working through the factors should enable you to work out a SOLUTION to the problem. You might have several OPTIONS. HASCAS: Dignity through Action

8. Action Planning Step 4: What are my Options? HASCAS: Dignity through Action

9. Action Planning Step 5: Create the Plan - Goals & Objectives (A) Have you a clear GOAL? (Single clear sentence of overall target) What are your OBJECTIVES? Clear statements about action you need to carry out to achieve your goal. HASCAS: Dignity through Action

10. Action Planning Step 5: Create the Plan - Goals & Objectives (B) Have you a clear GOAL? (Single clear sentence of overall target) What are your OBJECTIVES? Clear statements about action you need to carry out to achieve your goal. You may have many objectives If you have only 1 objective then this is the same as your goal! HASCAS: Dignity through Action

11. Action Planning Step 5: Create the Plan - Goals & Objectives (C) • Have you a clear GOAL? (Single clear sentence of overall target) • What are your OBJECTIVES? Are your Objectives SMART? • Specific • Measurable • Achievable • Realistic • Timed HASCAS: Dignity through Action

12. Action Planning Step 5: Create the Plan - Goals & Objectives (D) • Have you a clear GOAL? (Single clear sentence of overall target) • What are your OBJECTIVES? Are your Objectives SMART? • Specific • Measurable • Achievable • Realistic • Timed • Inspiring • Enthusiasm Generating • Sustainable SMARTIES ! HASCAS: Dignity through Action

13. Action Planning Step 5: Create the Plan – Details in the Plan • Work out the logical action steps to be taken For each action you need to be clear about: • ‘WHAT’ is to happen and the ‘ORDER’ of the tasks. • One objective each step? • ‘WHO’ is involved and ‘allocation of tasks to people’. • ‘WHEN ’ and ‘WHERE’ are things to happen. • Do you need a ‘TIMETABLE’? • Does the Plan need management approval? • Have you included arrangements in the plan for measuring if you were successful? (EVALUATION) HASCAS: Dignity through Action

14. Action Planning Step 6: Create the Plan – Evaluation Arrangements • How are you going to evaluate the success of your Action Plan? Put this in your Plan. • Who needs to be involved? • How are you going to communicate the results? • What will you do if it goes wrong? HASCAS: Dignity through Action

15. Activity 3.1 How to Produce an Action Plan (Worked Example) HASCAS: Dignity through Action

16. Dignity Action Plan – Step 1: Identify Dignity Problems COMMUNICATION CHALLENGES Engage with care partners and listen and support people to express their needs and wants. • Some notes from Case Study C – Communication points only • Sue’s sister wishes to be involved in care – excluded and frustrated. • Documentation/admission procedures may have problems. • (NOK contact information and recording accurate information). • Residential home provided Jackie inaccurate/inadequate information about her sister. (Seems to be happening more and more!) • Possible issues of information exchange between staff and consistency of ‘message’ within the residential home. • Several care professionals having input – is information about Sue being maintained in one place? • Possible intervention/consent issues. HASCAS: Dignity through Action

17. Dignity Action Plan – Step 2: What are the Causes? • For this worked example assume: • Problem 1: Inaccurate/inadequate information passed to relatives. • Cause: Policy issues? • Cause: Team procedure inadequacies? • Cause: Staff Training? • Cause: Information recording & availability? • Problem 2: Admission documentation (full/accurate details). • Cause: Poor procedure? • Cause: Documents inadequate for information capture? • Cause: Staff Training? HASCAS: Dignity through Action

18. Dignity Action Plan – Step 2: What are the Causes? • For this worked example assume: • Problem 1: Inaccurate/inadequate information passed to relatives. • Can assume this seems to happen quite a lot! • Cause: Policy issues? • Cause: Team information exchange inadequacies? • Cause: Staff Training? • Cause: Information recording & information availability? • Problem 2: Admission documentation (full/accurate details). • Cause: Poor procedure? • Cause: Documents inadequate for information capture? • Cause: Staff Training? HASCAS: Dignity through Action

19. Step 3: Consider the Factors Using Problem 1: Inaccurate/inadequate information passed to relatives. • PLACE FACTORS (perhaps no so important for this problem) • Any physical environment issues to consider e.g. private rooms. • Is there an information point for relatives & friends – near entrance? • Is there a single point of contact for accurate information in the residential home? • Are specific staff allocated and centrally located to ensure proper information flow to staff & relatives? Is more money needed? • Are notice boards & newsletters effective? HASCAS: Dignity through Action

20. Step 3: Consider the Factors Using Problem 1: Inaccurate/inadequate information passed to relatives. • POLICY/PROCESS/PROCEDURE FACTORS • What are current policies/procedures? • Care planning and pathways (Documentation Procedures) – Staff training requirements? • Maintaining information for relatives – what is required? (Procedures) • What is the policy for keeping family members informed? (Policy) • How to keep accuracy of information. (Procedures) • Problem of mixed messages - how to prevent? (Procedures) • Expectation of relatives – what they want to know? (Policy) • Links to complaints procedures. (Procedures) • Are the staff conforming to the laid down procedures. (Procedures) • What are the Care Quality Commission Guidelines about this? HASCAS: Dignity through Action

21. Step 3: Consider the Factors Using Problem 1: Inaccurate/inadequate information passed to relatives. • PEOPLE FACTORS • Leadership, Teamwork & Responsibilities and Accountability • Training state of staff involved • Named carers – are they there – do relatives know who they are? • Availability and access to senior staff – are they easily available? How do relatives know how to contact senior staff? • Designation of family members e.g. NOK (privacy issues) who agrees this? HASCAS: Dignity through Action

22. Step 3: Consider the Factors Using Problem 1: Inaccurate/inadequate information passed to relatives. What do I need to do? What’s my goal? I need to think of a way to sort this out! What are my options? HASCAS: Dignity through Action

23. Step 4: What are my Options? (TWO SIMPLE EXAMPLES) HASCAS: Dignity through Action

24. Step 5: Create the Plan (Summary of Contents) • Goal and Objectives. • Tasks and order of tasks. • Who is responsible for tasks. • When and where are tasks carried out. • (Timetable) • Management approval requirements. • Evaluation arrangements. HASCAS: Dignity through Action

25. Step 5: Create the Plan (PART OF AN EXAMPLE AS AN ILLUSTRATION) HASCAS: Dignity through Action

26. Step 5: Create the Plan (PART OF A TIMETABLE AS AN ILLUSTRATION) HASCAS: Dignity through Action

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28. Activity 3.2 Produce an Action Plan (Personal or Group Example) HASCAS: Dignity through Action

29. Action Planning Activity 3.2: INSTRUCTIONS Identify a dignity problem in your own work. (Use Dignity Challenges , Dignity Audit Tools, Work Experience) Use the Six Step Action Planning Process. Use the Action Plan Checklists (Workshop Pack). • Remember a plan contains: • Goal and Objectives. • Tasks and order of tasks. • Who is responsible for tasks. • When and where are tasks carried out (Timetable). • Management approval requirements. • Evaluation arrangements HASCAS: Dignity through Action

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31. Arrangements for Local Follow up Work HASCAS: Dignity through Action

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33. Evaluation Questionnaire HASCAS: Dignity through Action

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