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5. Environment

Environment is the fifth Guiding VALUE. Person-centred principles underpin the organisational values that describe what is important to an organisation and how people should approach their work. Person-centred organisations have a systematic approach to knowledge and skill development that is inclusive of the experiences of staff, consumers and the people who care for them.

Environment is made up of two 'Elements':

  1. A supportive learning culture
  2. Responsive support

Each Element is then broken down into a set of ‘Actions’, which provide examples of person-centred approaches in four key areas.

 

 

 

 

 

1. A supportive learning culture

An organisational shared understanding is developed through collaboration with staff, consumers and the people who care for them.

Working with the consumer and their carers

  • Recognise that people living with dementia and their carers are experts in what is important to them
  • Support staff to interact with consumers in a way that is consistent with person-centred principles
  • Provide consumers with information about the organisational vision and values

Working with staff

  • Provide staff access to advice, support and opportunities to work alongside more experienced colleagues
  • Ensure supervision between managers and their staff supports reflection, learning, accountability of practice and problem solving
  • Ensure staff members’ ideas and suggestions about improvement are incorporated into the ongoing development of services
  • Allow staff to review and discuss progress at work with regular performance appraisal

Organisational leadership, systems and culture

  • Ensure a learning culture exists across the organisation 
  • Ensure the organisation’s vision and values embrace person-centred principles and are evident in the language of the organisation
  • Ensure leaders within the organisation promote person-centred principles through their actions and behaviours
  • Provide opportunities for staff to debrief following difficult situations and share updates, accomplishments and knowledge
  • Implement reward and recognition systems that identify and commend positive actions and behaviours
  • Ensure the organisational governance system uses person centred care principles to inform strategic planning, resource allocation and decision making
  • Ensure recruitment and induction practices familiarise new staff to person-centred approaches, accepted practices and performance standards
  • Establish a shared understanding of person-centred principles with brokered agencies

Education, supervision and support

Ensure staff:

  • Receive dementia-specific education and understand how dementia impacts on people’s lives
  • Are aware of how their own approach can impact upon the person living with dementia
  • Are supported by mangers with the skill to provide appropriate supervision and appraisal
  • Are given opportunities and encouraged to participate in educational and career advancement including mentoring

2. Responsive support

The organisation strives to provide safe and supportive environments and experiences for staff, consumers and the people who care for them.

Working with the consumer and their carers

  • Establish and maintain regular contact with consumers and their carers
  • Review support plans regularly and make adjustments to respond to the changing needs of the consumer
  • Identify and address the language needs of consumers and their carers
  • Assess the carer’s own physical and emotional wellbeing and identify strategies to maintain their health and wellbeing
  • Tailor services to meet the consumer’s specific care needs

Working with staff

  • Foster a positive regard amongst staff and between consumers and staff
  • Ensure access to specialised advice for staff when required

Organisational leadership, systems and culture

  • Ensure services address the needs and experiences of specific population groups, including people from culturally and linguistically diverse backgrounds, Aboriginal and Torres Strait Islander people, people with younger onset dementia, people who identify as gay, lesbian, bisexual, transgender or intersex
  • Employ flexible approaches to service delivery by supporting staff to adapt to the changing needs of consumers
  • Promote continuity of key workers through careful allocation and rostering
  • Allow adequate time for staff to provide person-centred care
  • Match the timing and delivery of support to the routines of consumers and their carers
  • Ensure appropriate referral to other services to meet the needs of consumers and their carers
  • Ensure relevant information is shared with consumers, their carers and staff
  • Guarantee a comprehensive occupational safety and health management system
  • Ensure a culture of review across the organisation to improve practice and systems

Education, supervision and support

Ensure staff:

  • Have the appropriate skills to complete holistic assessment and care planning
  • Understand memory loss (normal ageing versus early dementia)
  • Understand the importance of reporting changes in a person’s circumstances, (i.e. care needs increase and/or become complex)
  • Appreciate the need for a flexible approach to address the fluctuating and changing needs of people
  • Know when to seek help from others

Congratulations, you have finished reading through The Framework section of this resource and should have a good understanding of the five VALUEs that make up the Valuing People Framework. Continue to the next section to find out more about the self-assessment.

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