NHS Foundation Trust CARE CERTIFICATE
Frimley HealthnNHS Foundation TrustCARE CERTIFICATEINDUCTIONPROGRAMMECARE ASSISTANT /SUPPORT WORKER Date Commenced: Date Completed: ntPDrg best pceecinontireCouragCaCommmmitmentCoassimPraComppe t e n c eravelo p m eComembDetionicauniceaTectName:acWritten by:STACEY O’HARATR PRACTICE DEVELOPMENT ASSISTANT PRACTITIONER (WPH)ANGELA DENNISONTR PRACTICE DEVELOPMENT ASSISTANT PRACTITIONER (FP)Version: 1Date: May 2015Date ratified: April 2014Review Date: May 2017The Care Certificate Contribution HealthEducation England, Skills for Care and SkillsFor Health, Copyright-Frimley Health 20151
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CONTENTSPage 3IntroductionPage 6Roles and ResponsibilitiesPage 7Trust ValuesPage 9Workbook GuidancePage 11Standard 1Understanding your RolePage 23Standard 2Your Personal DevelopmentPage 27Standard 3Duty of CarePage 37Standard 4Equality and DiversityPage 47Standard 5Work in a person centred wayPage 55Standard 6CommunicationPage 65Standard 7Privacy and DignityPage 77Standard 8Fluids and NutritionPage 81Standard 9Mental Health, Dementia and Learning DisabilitiesPage 93Standard 10Safeguarding AdultsPage 101Standard 11Safeguarding ChildrenPage 103Standard 12Basic life supportPage 105Standard 13Health and SafetyPage 113Standard 14Handling InformationPage 115Standard 15Infection prevention and controlPage 117Glossary of terms / Benner FrameworkPage 123Meeting Recods1
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INTRODUCTIONWelcome to Frimley Health NHS Foundation Trust. Care services are deliveredfrom three hospital sites Frimley Park, Heatherwood and Wexham Park Hospital.The trust is committed to encourage and support appointed staff members whoare new to the organization or clinical environment.The aim of the Care Certificate Induction Programme is to provide support andguidance for new Care Assistants enabling them to make the transition fromsupervised carer to competent carer within their designated organisation.The programme runs once a month and the candidates must attend the firstprogramme available to them when they start work within the trust.Candidates may have experienced supernumerary shifts clinically prior toattending the programme; others may attend immediately after their corporateinduction.We do acknowledge that each candidate brings with them their own priorlearning and experiences. The aim of this programme is to provide training,education and assessment to a specific set of standards set by the chief nursingofficer and covers specific care competencies as set by the Trust.The standards of behaviour expected of you, are underpinned by the ChiefNursing Officers 6’Cs.Care, Compassion, Commitment, Courage, Communicationand Competence.All learning is down to the individual. The trust envisages that the CareCertificate Standards will be completed within a 12 week period.The Care Certificate programme is not an extension to formal training, but aperiod during which knowledge, skills and attitudes acquired during trainingare applied to practice.3
Care Certificate WorkbookBackgroundThe Care Certificate was introduced in April 2015 and it is now the expectation of all thoseworking as healthcare assistants and adult social care workers to undertake this learningas part of their induction programme. The Care Certificate was created as a result of theCavendish Review which was published in July 2013. This review was part of the responseto the Francis Inquiry into the failings of care at the Mid-Staffordshire NHS Trust.The Cavendish Review found that the training and development of healthcare assistantsand adult social care workers was often not consistent or good enough. Cavendishproposed that a new ‘Certificate of Fundamental Care’ be created to improve this andthis resulted in the ‘Care Certificate’. The Care Certificate covers the learning outcomes,competencies and standards of behaviour that must be expected of support workers inthe health and social care sectors. It aims to make sure that you are caring, compassionateand provide quality care in your work. The certificate builds on and replaces the earlierinduction programmes: Common Induction Standards (CIS) and National MinimumTraining Standards (NMTS).There are 15 standards that make up the Care Certificate. The standards take account of: The Code of Conduct for Healthcare Support Workers and Adult Social Care Workersin EnglandThe Social Care Commitment, which is the social care sector’s promise to provide peoplewho need care and support with high-quality servicesThe Chief Nursing Officer for England’s ‘6Cs’. These are care, compassion, competence,communication, courage and commitment.Who does the Care Certificate apply to?You will be expected to undertake the Care Certificate if you are ‘new staff, new to care’employed as: A healthcare assistant, assistant practitioner, care support worker or you supportclinical roles where there is direct contact with patients An adult social care worker, providing direct care in residential and nursing homes ora hospice, or you are a home care worker.Other roles may be included where achievement of all of the standards is possible.As some of these roles would be very different in health and social care it is up to theemployer to decide whether the Care Certificate is appropriate. However, to be awardedthe Care Certificate you must meet all of the outcomes and assessment requirements.The Care Certificate: Applies across the health and social care sectors Portable between sectors and organisations Assessement of both knowledge and competence.This means that you will cover the same learning as all the workers who undertake theCare Certificate. You will be assessed on what you know and what you do to show youunderstand and can carry out the standards in your role. You could use the learningtowards some existing qualifications in the sector and you will be able to take yourcertificate with you if you move to another role in health or social care.4
Teaching the Care CertificateYour employer has a responsibility to provide and induction to ensure that you have theskills, knowledge and understanding you need to do your job. The Care Certificate may beused as part of your induction as it sets out basic skills that you will need to be competentwhen working in health and social care.Each standard must be completed and assessed before you can work without directsupervision in any setting. This should happen at the beginning of your employment andcan be done in a phased way. As you meet each individual standard, you could be allowedto work without direct supervision against that standard.The Care Certificate is not a replacement for the induction and training which is specificto the job you are employed to do and the employer you work for.After completing the Care CertificateThe Care Certificate is not a licence to practice. It could provide evidence towards someregulated qualifications and apprenticeships in health or social care.It is your employer’s responsibility for awarding the Care Certificate to you. Whilst youremployer should record your achievement, they should also provide you with a certificate.It is recommended that you keep the certificate as evidence of completion, as well as anyadditional documentation you believe would be beneficial to other employers. This willhelp avoid the need to repeat learning if you move to other health and social care roles,though periodic refreshers on some content may always be required.This workbookThe workbook covers what you need to know and understand for each standard in theCare Certificate. It has questions and activities for you to complete to show that you haveunderstood the information and how it applies to your work. Your employer may adaptthe activities to make them relevant to your work. Your assessor will use your answers todecide whether you have the knowledge to meet that standard. Your employer will thenneed to assess your competence around some parts of the Care Certificate, where neededin the standard, by observing you in your workplace. It is important that this is undertakenbefore you are expected to work alone on the tasks being assessed.Once all parts of the practical assessment are achieved and the assessor is satisfied youhave the knowledge required for each standard, you will be awarded the Care Certificate.5
ROLESand RESPONSIBILITIESLine Manager: The line manager will identify the appropriate person to be a CareAssistant BuddyHonours Off Duty requests to attend programmeReview competency progressFollow up discussion on individualPersonal DevelopmentSix month probationary period reviewTwelve month appraisaland personal development reviewCare Assistant Buddy: Attend Care Assistant Buddy training datesFacilitate orientation and induction to theclinical environmentIdentify and organise the individual withward procedureAct as a role model and resource person within the clinical settingReport any concerns to a Senior member of staffProvide support and feedback to the candidateThe Candidate: Practice in accordance with their professional codeFamiliarise themselves with the standardsEnsure all study days are requested on the off duty in a timelymannerIdentify any issue that may prevent them completing theprogrammeMaintain a portfolio providing evidence of on – goingdevelopment knowledge and skills.The Practice Development Team: 6Each Directorate has a designated Practice Development team whowill be aware of all the new Care Assistants within their clinicalenvironment.They will liaise with the Candidate and Ward manager to giveadditional support throughout the duration of the programme.A support worker will work alongside the candidate in the clinicalarea to assist in the completion of their care standardsAdditional training will be provided at 3 weeks, 6 weeks and 12weeks from commencement of training.
Our values reflect the commitments wemake to people who use our servicesand to each other. Here are just afew examples:Committed to Excellence We make safety and qualitya priority for ourselves andothers We go the extra mile We strive to achieve ourgoals consistently to thehighest quality standard,getting the basics right everytime We have a positive attitude We set ambitious goals forourselves We deliver what we promise We work hard to solveproblems if things go wrongand make them right We take responsibility for ourown performance and forbrining our values to lifeWe are commitedto excellence ineverything wedo, striving to beone of the bestacute Trusts inthe country.Working Together We are friendly, welcoming,courteous and caring We act fairly andcompassionately We are open, honest andcandid with others We treat other people asindividuals and respond totheir needs We respect others’ privacyand dignity We listen and ensure weunderstand We encourage and supportcolleagues We work as part of one teamwith colleagues within andoutside the Trust in supportof patient needsFacing the Future We challenge poorperformance in others andexpect to be challenged ifour own performance is poor We are open to developingourselves and constructivefeedback We change things for thebetter We make best use of publicmoney by being as efficientas possible We engage with others toimprove how things are done We speak up if things couldbe done in a better way We see change as anopportunity not as a problemWe are workingtogether as oneteam dedicatedto meetingpatient needs.We are facingthe future,continuouslyimprovingour performanceand adaptingservices tomeet demands.7
Our values will be embedded in everything we doThese values apply to every one of us, in everything we do for our patients and with our colleagues.Our values are incorporated into all aspects of our work from recruitment, appraisal, training anddevelopment and staff awards to strategy and business planning.Our values in actionThis is what our patients say when we get it right:“I literally cannot fault any of the wards and services we received. They were thorough, staff all showedempathy and were all very patient and helpful with all our questions.”“The courtesy, care and compassion we received was exemplary and we were kept fully informed - it wasclearly a team effort.”“Every single member of staff was polite and sympathetic and conducted themselves in a professionalmanner- from the cleaners to the surgical staff and everyone in between.”“The nurses and all staff looked after us as if we were the most important people in the world, despite beingincredibly busy.”“All members of staff I encountered were wonderful, kind, friendly and informative and made me feel wellcared for. I felt safe in their hands.”“We were blown away with the quality of care in A&E and how staff put the patient first. Everyone wasfriendly and helpful and did what they said they would do.”Message from the Chief ExecutiveOur shared values will help guide us on our journey to create one of the best NHS trusts in the country.We want to ensure that our patients and service users have the best possible experience of receiving carewherever it is provided within Frimley Health NHS Foundation Trust. By being committed to excellence andworking together, we will face the future with a focus on efficiency and improvement to ensure our successas a leading healthcare provider.We also want our staff to have a great experience working with us so they are truly happy to recommendFrimley Health as a good place to work. We expect all staff to treat colleagues as they would wish to betreated themselves.Our values set out what we expect of our staff in the way they treat patients, visitors, service usersand each other.So let us praise good practice and encourage initiative while challenging poor practice and unacceptablebehaviour when we find it.These values will shape everything we do, how we make our decisions, and will help to make everyone’sexperience of Frimley Health NHS Foundation Trust the best it can be.Andrew Morris8
WORKBOOK GUIDELINESThis workbook is a record of your clinical and professional skills supported bya body of evidenceIt also serves as a record of your clinical experience and journey from asupervised role to a competent health care workerEvidence Guidance:For each section of the portfolio please collate the evidence to demonstratehow you have met the bench mark Evidence may be: Personal and Professional feedbackDefining moments – reflectionMaking a difference – reflectionFormal trainingMeetingsService users feed backCritical review / AnalysisAction plan for developing skills and knowledgeCertificates of training / E-Learning9
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Activities for CCStandard 1Understanding your roleDate of Assessment CompletedName of Assessor11
1.1 Understanding your Role1.1 a Describe your main duties and responsibilities12
1.1 b List the standards and codes of conduct and practice that relate to your role1.1 d Explain how your previous work experiences, attitudes and beliefs may affect theway they work13
1.2 a In the chart below list your employment rights and responsibilitiesEmploymentrights andresposibilities14
1.2 b The aims and objectives and values of the service in which you workPlease refer to the trust values on page 7 & 8 of this workbook1.2 c Explain why it is important to work in ways that are agreed with your employer15
1.2 e For each of the statements below, decide whether each should be reported as aconcern and tick either yes or noYESNOThe health and safety of staff is in dangerIndividuals are treated with dignity and respectThe environment is being damaged by work activityWrong doing is being covered upThe individual’s care is inadequate but they cannot or will not complainCare plans are reassessed and updated regularlyYour manager is involved in the abuse of individuals1.2 f Thinking about the statements above that would need to be reported, explain howyou would raise your concerns, or whistleblow:16
1.3 Understand working relationships in healthand social care1.3 a Think about your responsibilities to the individuals you support. Describe four ofyour responsibilities to those individuals.17
1.3 b in the boxes below, explain how a working relationship is different to a personalrelationship. Use examples from your service to help you explain your points:18A WORKING RELATIONSHP ISA PERSONAL RELATIONSHIP ISEXAMPLE ISEXAMPLE IS
1.3 c There are four main working relationships in health and social care. State the fourain working relationships and provide a description of each, including who they are mostlikely to be in your work place.19
1.4 Work in partnership with others1.4 a Explain why it is important to work in partnership with others.1.4 a Explain why it is important to work in partnership with key people, advocates andothers who are significant to an individual20
PLEASE ATTACH E-LEARNING CERTIFICATE CONFRONTATION21
Observed in normal work duties1.1 c Demonstrate that you are working inaccordance with the ways agreed by youremployerExample :- time keeping, correct uniform1.2 d Demonstrate how to access full andup-to-date details of agreed ways of workingthat are relevant to your role1.4 c Demonstrate ways of working that canhelp improve partnership working.Example :- Handing over information1.4 d Demonstrate how and when to accesssupport and advice about: partnership workingresolving conflictsE-Learning – Conflict Resolution22DateAssessors Signature
Activities for CCStandard 2Your Personal developmentDate of Assessment CompletedName of Assessor23
2.1 Agree a personal development plan2.1 a List sources of support available for your own learning and development2.1 b What is the process for agreeing a personal development plan and who should beinvolved in it ?2.1 c Why is feedback from others important in helping to develop and improve theway you work24
2.1 d Contribute to drawing up a personal development ed in normal work dutiesDateAssessors Signature2.1d, 2.1e Contribute to drawing up yourown personal development plan and agreeon your development plan2.2a Discuss the functional level of literacy,numeracy and communication skills necessaryto carry out your role25
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Activities for CCStandard 3Duty of careDate of Assessment CompletedName of Assessor27
3.1 Understand how duty of care contributes tosafe practice3.1 a Define ”duty of care”3.1 b Thinking about your own work role, complete the sentences below to describe howthe duty of care affects you in practice. The first example has been completed for you:I have certain responsibilities to the individuals I provide care and support to and to mycolleagues; this includes working safely and with the interests and wishes of the individualat heart.The code of conduct means that.The organisational policies and procedures are I must report unsafe practices because 28
3.2 Understand support available for addressing dilemmasthat may arise about duty of care3.2 a Describe 2 dilemmas that may arise between duty of care and an individual’s rights1.2.29
30Dilemma2Dilemma1What you must do within your roleWhat you must not do within yourroleWhere would you get additionalsupport and advice to resolve thedilemma and why3.2 b,c For the two dilemmas that you have described in 3.2a, complete the table below to explain what you must and must not do withinyour role for each dilemma and where you would get additional support and advice to help you resolve the dilemma.
3.3 Deal with Comments and ComplaintsThere will be times when your duty to safeguard the wellbeing of the individual is inconflict with your duty to promote the individual’s right to take risks. It is your duty toensure an individual is kept safe and does not experience harm but these situations maycause you dilemma and you may not know the right thing to do to keep them safe at thesame time as enabling them to make their own decision.3.3
Care Certificate Workbook Background The Care Certificate was introduced in April 2015 and it is now the expectation of all those working as healthcare assistants and adult social care workers to undertake this learning as part of their induction programme. The Care Certificate was created as a result of the
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