Learning Outcome 1:
Explain the importance of a holistic approach to assessment and planning of care or support
Describe ways to support the individual to lead their own assessment planning process
Range
Individual: The individual is the person requiring care or support. An advocate may act on behalf of an individual.
Explain how the assessment and planning process can be adapted to maximize an individual’s ownership and control of it.
Learning Outcome 2:
Establish a partnership approach to assessment with the individual
Establish how the assessment process should be carried out and who else should be involved, with the individual and others
Agree with the individual and others on the intended outcomes of the assessment process and care plan
Range
(2.3) Care plan: A care plan may also be known by other names, such as a support plan, or individual plan of care delivery plan. It is the document where day-to-day requirements and preferences for care and support are detailed.
Ensure that assessment takes account of the individual’s strengths and aspirations as well as needs
Work with the individual and others to identify requirements and preferences to support their well being
Learning outcome 3
Explain factors that may influence the type and level of care or support to be provided
Range
Factors: Factors may include:
Feasibility of aspirations
Beliefs, values, and preferences of the individual
Risks associated with achieving outcomes
Availability of services and other support options
Work with the individual and others to explore options and resources for the delivery of the plan
Range
Options and resources: Options and resources should consider:
Informal support
Formal support
Care or support services
Community facilities
Contribute to an agreement on how component parts of a plan will be delivered and by whom
Learning Outcome 4:
Carry out the plan of care or support within the limits of own role
Lead others to carry out their responsibilities when implementing a plan of care or support
Adjust the plan in response to changing needs or circumstances
Learning Outcome 5
Agree on methods for monitoring the way a care plan is delivered
Collate and record monitoring information from agreed sources and agree on any changes
Seek agreement with the individual and others about who should be involved in the review process and the criteria to judge the effectiveness of the care plan
Seek feedback from the individual and others about whether the objectives of the plan have been met
Work with the individual and others to agree on any revisions to the plan
Range
Revisions: Revisions may include:
Closing the plan if all objectives have been met
Reducing the level of support to reflect increased independence
Increasing the level of support to address unmet needs
Changing the type of support
Changing the method of delivering support
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