Person-centred planning
Person-centred planning
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Person-centred planning keeps the individual at the centre of the care planning process and in control of all choices and decisions made about their lives.
Person-centred planning is used in social care and has four key rules.
Key rule 1
The belief that the individual is best placed to decide what care and support they need and can plan for themselves by working with the individual to identify their strengths and abilities so they can make their own decisions.
For example, an individual may want to make their own decision about which mobility aids to use to walk short distances based on their ability, rather than use a wheelchair.
Key rule 2
The care plan, or care and support plan, is owned by the individual and is written in the first person.
For example ‘I would like to try a walking frame when I am moving around the house and moving short distances outside rather than using my wheelchair
Key rule 3
The individual has as much control as possible over the choices they make.
For example, the individual is supported to try to use the walking frame.
Key rule 4
The care plan, or care and support plan, is ‘needs’ led not ‘service’ led. This means that support is designed to meet the unique needs of the individual to make their life better, and not to fit them into a pre-existing service.
For example, the frame sourced is the best for the individual within the resources available or they are able to find a frame from somewhere else if necessary.
The Care Plan
The care plan is a required document that sets out in detail the way daily care and support must be provided to an individual. Care plans may also be known as ‘plans of support’, ‘individual plans’, etc.
Care or support plans are an important source of information as they are dynamic records that are constantly reviewed and updated in response to changing needs and preferences.
The role of the care plan
Properly maintained care plans mean that workers changing shifts or returning from holidays, and temporary or agency workers, will always have up-to-date information about the individual, enabling them to provide the best possible person-centred care.
It will also enable them to know how to provide care and support for individuals new to them.
Care plans are also legal documents which might be needed as evidence if an individual makes a complaint.
Reviewing a care plan
A review will look with the individual at what is working, what doesn’t work and what might need to change. For example, if an individual is unable to eat certain foods due to a new type of medication they are taking, their diet will need to change but still reflect the things they would like to eat.
If you feel that an individual’s care plan needs to be changed, talk to your manager or the person responsible for this in your workplace.
Getting more information
Ask your manager for copies of different care plans to make sure you understand how they are used in your workplace.
Your manager should be able to explain how the plans should be used.
The Care Act 2014 describes wellbeing as relating to the following areas:
Personal dignity (including treating someone with respect)
Physical and mental health and emotional wellbeing
Protection from abuse and neglect
Control by the individual over day-to-day life (including over the way care and support is provided)
Participation in work, education, training or recreation
Social and economic wellbeing
Domestic, family and personal relationships
Suitability of living accommodation
The individual’s contribution to society
Planning for the future
The person-centred approach uses the idea that everyone has an inner wish to fulfil their personal potential.
It is important that individuals are supported to plan for their future wellbeing and fulfilment so that their quality of life is improved, even if they are only in short-term care.
How can wellbeing and fulfilment be defined?
Select the image to reveal the answer.
Individuals should be encouraged to express themselves and to change their minds about things when they want to. It is important to take time to talk about their needs, what they want and also what they don’t want.
Why is this especially important for end-of-life care?
Think about why end of life care is important, what might a person want or need?
When you are ready click the pencil.
Towards the end-of-life a person might not be able to voice their wishes as they could before.
Ideally the individual will have planned ahead and expressed what they would like to happen within their care if they cannot decide for themselves any more. This is called advance care planning (ACP) and is backed by the Mental Capacity Act 2005.
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