Regulation 9 Person centred care

Today  I am talking about… person-centered Care   which is Regulation 9 of the Health and Social Care Act

The intention of this regulation is to make sure that people using a service have care or treatment that is personalised specifically for them. This regulation describes the action that providers must take to make sure that each person receives appropriate person-centered care and treatment that is based on an assessment of their needs and preferences.

Providers must work in partnership with the person, make any reasonable adjustments and provide support to help them understand and make informed decisions about their care and treatment options, including the extent to which they may wish to manage these options themselves.

Providers must make sure that they take into account people’s capacity and ability to consent, and that either they or a person lawfully acting on their behalf, must be involved in the planning, management, and review of their care and treatment. Providers must make sure that decisions are made by those with the legal authority or responsibility to do so, but they must work within the requirements of the Mental Capacity Act 2005, which includes the duty to consult others such as carers, families, and/or advocates where appropriate. 

The regulation is looking for collaboration with the person your providing treatment for designing care or treatment with a view to achieving service users’ preferences and ensuring their needs are met; enabling and supporting relevant persons to understand the care or treatment choices available to the service user and to discuss, with a

competent health care professional or other competent people, the balance of risks and benefits involved in any particular course of treatment;

 enabling and supporting relevant persons to make, or participate in making, decisions relating to the service user’s care or treatment to this means your speaking with their advocate whether they are a relative or a professional.

 it means giving the advocate as much information as is appropriate and relevant to help them to make a decision. 

Where a person lacks the mental capacity to make specific decisions about their care and treatment, and no lawful representative has been appointed, their best interests must be established and acted on in accordance with the Mental Capacity Act 2005. Other forms of authority such as advance decisions must also be taken into account.

This means you have to provide enough information they need to help them to make a decision for the purpose of treatment.

 Making reasonable adjustments to enable the service user to receive their care or treatment;

Assessments must take into account current legislation and consider relevant nationally recognised evidence-based guidance.

Assessments of people’s care and treatment needs should include all their needs, including health, personal care, emotional, social, cultural, religious, and spiritual needs.

  • Assessments should take into account specific issues that are common in certain groups of people and can result in poor outcomes for them if not addressed. These include diseases or conditions such as continence support needs and dementia in older people and diabetes in certain ethnic groups.
  • Assessments should be reviewed regularly and whenever needed throughout the person’s care and treatment.

This includes when they transfer between services, use respite care, or are re-admitted or discharged. Reviews should make sure that people’s goals or plans are being met and are still relevant.

Where providers share responsibility for providing care and treatment with other services through partnership working, integrated care, and multidisciplinary assessments, they should also take into account information from all relevant teams, staff and services.

A person’s care and treatment must be designed to make sure it meets all their needs. There may be times when a person’s needs and preferences can’t be met. In these instances, providers must explain the impact of this to them and explore alternatives so that the person can make informed decisions about their care and treatment.

 

If are a service that provides food then you need to ensure that these are fully met.  These come under Nutrition and Hydration

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