Personal Care Skills Day: Building Trust and Confidence

In our commitment to providing the best care for our service users, we recently held a Personal Care Skills training session for Social Care Alba staff. This training was designed to enhance the skills and knowledge of our caregivers, focusing on key aspects of personal care and professionalism. We covered essential personal care tasks, including shaving assistance, oral care, proper washing and drying, and dressing. These tasks may seem routine, but they are crucial in ensuring the well-being and comfort of our service users.

Learning Outcomes

Throughout the training, we spoke about the importance of building trust with our service users and understanding what constitutes good personal care. By the end of the session, our staff had a better understanding of these vital principles, along with practical implications and the consequences of incorrectly administered personal care.

Group Discussions

In our group discussions, we delved into the core values that should guide personal care. Dignity, choice, participation, communication, and respect were highlighted as fundamental principles. We also emphasised the significance of attention to detail, from buttoning clothing correctly to styling hair as per the service user’s preferences.

Professionalism and Ethics

Our training highlighted professionalism in delivering care. Effective communication was identified as the foundation of good personal care. Additionally, we stressed the importance of continually developing proficiency, adapting to service users’ needs, and using the necessary Personal Protective Equipment (PPE).

Organisation and Time Management

Organisational skills were discussed, stressing the importance of preparing equipment and products before initiating personal care. We emphasised the need to allocate sufficient time to each task, ensuring that service users never feel rushed.

Dignity and Consent

Maintaining the dignity and respect of service users at all times is a non-negotiable principle in our care approach. Consent is paramount, and no personal care can be administered without it.

Attention to Small Details

Lastly, our training underscored the significance of seemingly small tasks. These details can make a world of difference to our service users, ensuring they feel comfortable and confident in their appearance. By taking time to ensure that our service users appear the way they wish to appear and have all care carried out in the desired manner leads to a positive and constructive relationship that in turn builds confidence and trust within the service user.

Committed to Excellence

By focusing on technical skills, professionalism, ethics, and communication, Social Care Alba aims to build trust and confidence within our service users while ensuring that our caregivers are well-equipped to meet their needs. Our commitment to excellence in personal care remains unwavering, and this training is a testament to that commitment.

Preventing Infection in Social Care Settings

Within social care, stopping infections before they start is incredibly important. By looking at what can happen if infections spread and focusing on ways to stop them early, this blogpost explains why it’s so crucial to work hard on preventing infections and keeping everyone healthy by following Standard Infection Control Precautions (SICPs).


You can find all the information below as well as additional resources and scenarios at rightdecisions.scot.nhs.uk 🔗


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Watch the video introduction 

Potential infection risks

Faeces, urine, vomit and/or blood

You may come into contact with blood and/or body fluids during routine care, and these should all be considered potentially infectious. Viruses/bacteria (germs/bugs) in saliva, urine, faeces, or blood can be passed to another person via cuts or abrasions, or through the mucous membranes of the mouth and eyes. Not all contact will become a spillage, but in the case of unexpected spills see the section on management of blood and body fluid spillages for more detailed information.

Wound exudate

Infection prevention is one of the most important components of effective wound management. There is a risk of infection from wound leakage/oozing which should be managed using SICPs.

Sputum, nasal discharge, or coughing

During routine care you are in close contact with those that you care for, and coughs and sneezes are common causes of cross infection. Viruses/ bacteria (germs/bugs) can easily spread from care giver to care receiver and vice versa.

Unexplained skin conditions

The skin is an essential protective barrier to infection, but skin conditions can also pose infection risks. During routine care you may encounter people with skin conditions. Some skin conditions can be easily transmitted through contact with others during routine care.

Washing and dressing, household tasks, foot care, oral and eye care

Many personal care tasks such as washing and dressing or household type work can bring you into contact with blood or body fluids; sharps; care equipment and the care environment which may present cross infection risks.

PEG feeding, catheter care, colostomy care, PIC/Hickman lines, enteral feeding

Some procedures you carry out when caring for others may require you to handle equipment that has crossed the skin barrier. This can be a potential route of infection into the body. When using this equipment you may need to consider the risk of exposing the person you care for to microorganisms (germs/bugs).


Standard infection control precautions

Resident/person placement

Assess and monitor those who are in or going to be coming into their place of care so that correct infection prevention and control precautions are followed.

Hand hygiene

Wash hands with liquid soap and warm water if available. Alcohol Based Hand Rub (ABHR) can be used for visibly clean hands where care is being delivered and when entering or leaving the area.

Respiratory and cough hygiene

Cough and respiratory hygiene should be used by everyone. Cover nose and mouth following sneezing, coughing, or blowing your nose, using tissues and safely disposing after use.

Personal protective equipment

The use of Personal Protective Equipment (PPE), such as disposable plastic aprons and disposable gloves, is a requirement of health and safety legislation. PPE protects you (your uniform/personal clothing) from direct contact with any potential blood and/or body fluid.

Safe management of care equipment

Ensure equipment is maintained, cleaned, disinfected and/or disposed of appropriately.

Safe management of care environment

Ensure the care area is kept clean and dry and free from clutter and equipment.

Safe management of linen

All clean, used, or infectious linen should be handled with care to prevent potential spread of infection.

Safe management of blood and body fluid spillages

Prompt and safe cleanup of blood and body fluid spillages.

Safe disposal of waste (including sharps)

Management of all household and healthcare activity waste.

Occupational safety: prevention and exposure management (including sharps)

Action to take in the event of an injury or exposure to infection at work, particularly those found in blood or body fluids.


Norovirus Scenario

This offers learning opportunities related to the application of the Standard Infection Control Precautions (SICPs) outlined in this guide. The scenario takes place in a care home setting, however, throughout the scenario it is encouraged that you relate the key learning points to your own practice setting and note any points for discussion within your care team.

Good practice in the design of homes and living spaces for people with dementia and sight loss

Whether adapting a family residence or designing a purpose-built care home, individual differences in tastes, needs and abilities mean that creating homes that simultaneously cater for all the people who live in them is challenging. People with dementia experience impaired memory, learning and reasoning and become more reliant on their senses. People with very poor vision face a different but not entirely dissimilar set of challenges.


Colour and contrast

Colour and contrast can both be used to enable people with sight loss and dementia to identify different rooms and key features inside and outside of their homes. Good use of colour and contrast can facilitate independent living, for example, by supporting people to find their way around and to use fixtures and facilities such as lighting unassisted.

  • Coloured doors (see also: Entrances and exits)
  • Contrasting key features
  • Contrasting potential hazards
  • Choice of colour and contrast

Lighting

Lighting is important to people with sight loss and dementia. Good lighting can make the most of people’s capabilities and help to compensate for poor eyesight; it can assist people in finding their way around both new and familiar spaces and help them to undertake specific tasks.

  • Maximisation of natural light
  • Types of artificial lighting
  • Positioning of lighting
  • Intensity and uniformity of light
  • Control of lighting

Fixtures and fittings

The design of fixtures and fittings within the home is important. Good design can ensure that those people with sight loss and dementia are able to easily identify and use fixtures and fittings in their homes. Well designed fixtures and fittings can facilitate independent living. For example, providing user-friendly kitchen devices may encourage people to prepare their own food, and suitable handrails and grab rails will support people to move independently around their homes.

  • Handrails and grab rails
  • Rugs and mats
  • Controls (e.g. on appliances or for central heating)
  • Light switches and electrical sockets
  • Room furnishings
  • Assistive technology
  • Signage
  • Colour and contrast (see above)

Kitchens

Good layout and design of kitchens can make preparation of food and drink easier and thus facilitate independent living for people with sight loss and dementia.

  • Lighting (see above)
  • Worktops
  • Colour and contrast (see above)
  • Ovens, hobs and microwaves
  • Cupboards and cabinet design

Bathrooms

Good bathroom design can support more independence with washing, toileting and personal hygiene. Good design can also help with identification of the toilet and bathroom, especially during the night.


Entrances and exits

Good design of entrances and exits is important for people with sight loss and dementia. With good design

of both internal and external entrances and exits, people with dementia and sight loss will be able to move easily between rooms and to enter and leave buildings freely.

  • Door security
  • Accessibility of entrances and exits
  • Visibility of entrances and exits (See also: Colour and contrast)
  • Lighting at entrances and exits (See also: Lighting)

Outdoor spaces

It is important that people are able to access gardens and outdoor areas adjacent to their homes. Going outdoors has been shown to have multiple benefits including:

  • providing physical exercise
  • helping to maintain normal sleeping patterns and daily rhythms
  • improving mood and helping people to cope with stress

A well-designed outdoor space can be enjoyed by people with sight loss and dementia, as well as their families.

  • Accessibility of outdoor spaces and path design
  • Perimeter fences
  • Plantings

Top tip

Every visit

To reduce the risk of infection please use antibacterial cleaner to clean DOOR HANDLES, TV REMOTES and TELEPHONES at every visit.

Cleaning tips

Winter Vaccine Information

As a health or social care worker, getting your winter vaccines helps to protect you and those you care for against serious illness. NHS Scotland recommends you get your vaccines as soon as they are offered to you. Social Care Alba are here to help keep you and those we care for safe.

Don’t let your protection fade this winter. Find out what you’re eligible for and how to arrange your vaccination appointment.

Visit nhsinform.scot/wintervaccines

  • Frontline health and social care workers are eligible for both flu and COVID-19 vaccines.
  • All medicines, including vaccines, are tested for safety and effectiveness before they’re allowed to be used.
  • Viruses can spread more quickly in winter. Vaccines offer the best possible protection from flu and COVID-19. 
  • If you are eligible for both the flu and COVID-19 vaccines this winter, they will be given at the same time where possible. Getting both together is safe in delivering maximum protection over the winter months.
  • Evidence shows that COVID-19 vaccine immunity fades and the flu virus changes over time.
  • To help avoid queues outside vaccine centres, please arrive as close to your appointment time as possible.
  • Those who need a vaccinator of a certain sex, or a private space to be vaccinated, can request this at the vaccination clinic.
  • Staff at vaccination clinics will always respect your religious and cultural beliefs.
  • Information about the flu and COVID-19 vaccines is available in a range of other languages at nhsinform.scot/wintervaccineslanguages 🔗. A translation service is also available by calling 0800 030 8013.
  • If you require an interpreter for your winter vaccines appointment, support is available from your local Health Board. Don’t let your protection fade this winter. Visit nhsinform.scot/transport-and-interpreter 🔗 for more information.

Further information

COVID-19 & Flu Vaccines Explainer Video
How to book your winter vaccine appointment

This video takes users through each stage of the appointment booking process using the online portal 🔗 .

How to reschedule your winter vaccine appointment online

Pulling together for winter

As the weather gets colder now, we are reminding our staff to be extra vigilant around their clients, neighbours and loved ones, ensuring that their heating is on, and warm enough to keep everyone safe and well. Despite the cap on energy, living costs are still astronomical for us all, and we must do what we can to help those close to us. Here are some ideas that we have passed to our team to help out in their own neighbourhoods:

Soup for two: If you know someone you think might be struggling a little with food shopping, why not put a few more veggies in your soup and take some round. “I made too much!” – can often remove any awkwardness around receiving food.

Find out about any community gatherings, from lunches to Bingo nights, and offer to take them there one evening. Sometimes it’s just about getting over the fear of visiting a new place that holds us back from great friendship opportunities.

Where you can, help out to see if your neighbours are getting all the support they are due, from council food boxes to additional grants for their energy bills. It’s a few hours for you, but could make all the difference to your neighbour or loved one.

Keep local vulnerable people in your thoughts, and be mindful of things that may help them or interest them. That could be handing in a flyer for a local event, or taking a few extra reduced items for them, on your regular shop.

This winter is set to be one of the most difficult that we have had for a very long time; pulling together can help make it a little less daunting for our vulnerable neighbours.

Tips for the new Care Worker

At Social Care Alba (SCA), we know it can be daunting in a new job, which is why we like to make sure you have all the support you need to help you become a competent member of our team.

All of our new staff undergo a strict induction process which includes going through our policies and procedures, from infection control and medication management to complex behaviour, as well as Moving and Handling, and other practical elements of the care-at-home role. As care workers, it’s critical to understand the responsibilities we have towards those we support, and each session will give you the knowledge and skills needed to perform the regular every day tasks that you’ll be expected to undertake. 

We want you to get to know your colleagues

Our team is super friendly, and have all been where you are, so relax and get to know your colleagues as well as you can. We hold regular get-togethers, like lunches and occasional nights out to help everyone gel as a team, but you’ll also be spending much of your day with your colleagues on the job. Getting to know your team is incredibly important, as communication is key in our line of work, and we need to be able to share concerns and seek guidance quickly as situations arise. We say to everyone who starts with us, don’t be shy! Get to know who you’ll be working with and help to strengthen our great team!

We know nobody’s perfect!

If you are new to care, it will seem as though there are just too many things to remember – multiplied by every service user you come into contact with! However, many of these things will become second nature, as typically repetitive elements of keeping our service users safe and healthy. We know you’ll get there … and we do our best to give you a great start. 

For the first while, you will have a work buddy to shadow and learn the ropes from as you learn about your clients and their individual needs. Feel free to ask your work buddy questions, and don’t be afraid to query things you feel might be obvious; you won’t be the first to ask, and you certainly won’t be the last!

We are carers – we care

The clue is in the job title! Be aware that this job is psychological as well as physical. We are not just administering medication or delivering personal care. In this profession, we work with people of all ages, and all walks of life and we need to be open and non-judgemental in our approach, as well as offering compassion and kindness. People who gravitate towards caring professions generally have these qualities; our aim at SCA is to provide a strong foundation to help caring people be at their best!

Practical tips for your first days in your new role

A few tips for your first days with SCA …

Wear sensible footwear – quite apart from the fact that you will be on your feet for much of the day, sound footing is also crucial when supporting others who may not be so steady on their feet. Further, you need only once have a wheelchair go over your toes to know that sturdy shoes are a must!

Pre-plan your meals Shift work can be difficult to get into and work around, so its best to pre-plan your meals until you get the hang of it. This includes bringing in lunches and snacks that will keep you going throughout the day, and having meals ready for when you get home. The first few weeks may leave you with little energy to conjure up a healthy meal when you get home!

Try to avoid wearing jewellery as it can catch easily during personal care, or be lost in any number of homes you visit – so try to minimise what jewellery you wear for your own safety.

Bring a notebook – make notes of whatever you can, and don’t feel awkward about asking for a second to scribble something down. Reading through your notes in the evening can also help to drive new information home …
And lastly – be yourself! It takes all sorts to make a tight team, and we appreciate and value every single staff member for the challenging but rewarding role they do.  If you haven’t applied yet, head over to our careers page for information on current vacancies …and we hope to see you soon!

SCA and Complex Behaviour – Overview

Working with service users with complex behaviours can be challenging, so understanding what complex behaviours are, and how Social Care Alba (SCA) care staff should address them, is crucial to providing safe and effective care.

What are complex behaviours?

Complex behaviours are those that are difficult to manage and predict, and can be disruptive. In a care-at-home setting, you might typically think of aggressive behaviours, such as verbal abuse or threats of violence towards others. However, complex behaviours commonly involve self-harming and unintentional actions such as wandering off, or repetitive behaviours that may lead to harm of some kind. 

All of these behaviours require careful handling by staff members, and at SCA, our Complex Behaviour Policy and Procedure is there to ensure that our care staff understand their responsibilities and follow the relevant codes of practice as required. However, it’s also about enabling staff to understand the needs of service users who display these behaviours and to ensure that the use of de-escalation preserves the respect and dignity of service users at all times, using the least restrictive option.

Causes and triggers around complex behaviour can be complex themselves

In order to be able to address complex behaviours effectively, we need to be mindful – not only of how they might manifest, but of the situation around the person displaying them.  For example, if a person is exhibiting aggressive behaviour because they have dementia, our response may differ from someone without dementia, who exhibited similar behaviours. This raises an important point about complex behaviours and how we address them … there is no ‘one size fits all’. Everyone is unique, and our life experiences, our state of mental or physical health, or disability can affect our behaviours in many ways. For this reason, care workers must deal with each incident on its own merit.

Dealing with an incident

There is a procedure that should be followed, and this can be found in our Complex Behaviour Policy and Procedure document. However, regardless of the situation, the intention must always be to avoid harm – both to the service user and anyone else in the immediate vicinity. 

Further, always assess the situation and decide what your goals are in dealing with it. This assessment should include an understanding of what caused the behaviour and how it manifests itself in each individual case. This will help you plan your response accordingly and make sure that you have all of the information necessary (eg., possible triggers, typical responses) to approach the situation competently in the future.

Following assessment of the situation and determining the best course of action, communicate clearly with others in close proximity, to let them know how they can support you during this process, or to ensure their safety (eg., ‘Leave the room please’). A calm, confident approach is key, as this sends signals to the service user that you understand, and know how to support them in that moment.

In line with SCA’s Complex Behaviour Policy and Procedure, your manager will arrange a post-incident review to discuss what happened, any learning from it, and any course of action to be taken as a result.

Training and Learning Resources

At SCA, we provide in-depth training to new personal assistants in:

  • Work in a person-centred way
  • Communication
  • Privacy and dignity
  • Awareness of mental health, dementia and learning disabilities
  • Adult support and protection

However, there are also opportunities for further learning where needed. Staff can find resources on :

  • De-escalation techniques
  • Trigger arenas
  • Risk assessment and personal planning
  • Conditions that can cause complex behaviours

Our training, additional resources and our commitment to ongoing support all seek to help equip and empower our staff to feel competent in complex behaviour situations. If you are ever in any doubt about how to handle a situation, speak to your manager, and we will do what we can to support you further.

Continuous improvement

Did you know that we hold regular team meetings for staff, clients and relatives? This is to ensure that we are always working towards direct improvement in our services for those we support.

Our current open projects are as follows:

  • Improving the lives of people with life shortening conditions
  • Improving the lives of people with Dementia
  • The use of technology with care at home
  • Annual Learning & Development Plans
  • Annual Recruitment & Retention Plans
  • Annual Improvement Plans
  • Advocacy

Be part of the solution in your community; work with us, and make a difference!

Learn more on our Careers page

Happy picnicking!

Making the best of the good weather is even more important for those who may be more mobile on warm days – and who doesn’t love a picnic? 😊 Just some fun simple snacks on a sunny bench can make a short walk, a day out. Here are some quick, wrappable, packable ideas for an impromptu picnic with your clients …

WRAPS

Wraps are magic! No mess, no hassle to make, and slip into your handbag. Ham, jam, spam or (e)dam, whack it in and wrap it up. Job done.

INSIDE OUT SARNY FINGERS

These are a great alternative to sandwiches, and perfect for small appetites! Over-toast some thick bread then cut into strips. Spread a little salad cream or mayo on one side then wrap a slice of ham around each. Wrap in tinfoil.

CHEESE AND APPLE NIBBLES

These are so moreish, and an enticing way to sneak some more calcium and vitamin C! Simply cube the cheese and apple and put into a tub.

Don’t forget we Scots are not used to this sunshine (!). Be prepared with plenty of water, a sunhat/cap and suncream 🙂

HAPPY PICNICKING!