Trust Care Management is steadfast in its commitment to delivering care that is centered around the person, recognising the unique identity and circumstances of everyone we support. We integrate a range of models and methods to cater to the diverse expertise within our team, which includes both emerging and seasoned care workers and nurses from various cultural backgrounds. This inclusive approach has prompted us to dynamically redefine roles to ensure optimal use of our resources, particularly during staff shortages and the challenges presented by the pandemic.

In line with the CQC’s “Right Care, Right Support, Right Culture” guidance we have enabled Health Care Assistants to carry out designated nursing tasks under the supervision of registered nurses, thereby expanding their skill set within our care homes. This empowerment has led to the promotion of some Health Care Assistants to unit manager positions, in recognition of their leadership and clinical competencies.

Our hybrid model, which is applied within our registered care homes, is designed to address the varied skills and staffing requirements, as well as the personal needs of our service users. It upholds a high standard of care and incorporates a customised version of the Roper-Logan-Tierney Model of Nursing, enriched with elements from Functional, Team, Total Care, and Primary Care models. This blend ensures a balance between task-focused and person-focused care.

Team nursing offers a robust structure for our less experienced staff to enhance their skills in a supportive environment. We also embrace Dorothy Orem’s self-care deficit theory, which encourages activities that individuals can undertake independently to maintain life, health, and well-being. This theory, along with the core principles of nursing

• Person,
• Environment,
• Health, and nursing

has significantly shaped our organisational culture and attitudes, fostering a person-centered care ethos.

Moreover, we incorporate Florence Nightingale’s environmental theory, which emphasises the importance of optimising the persons environment to support their recovery. This principle has been particularly valuable during the pandemic and is thoroughly embraced by our staff across all roles.

Scientific evidence supports the effectiveness of person-centered care, demonstrating that such interventions can lead to improved outcomes and reduced costs of care. By integrating various approaches and theories, we ensure that the individual is at the heart of our service delivery, focusing on their needs rather than their condition or disability. Our holistic and integrated approach inspires individuals to pursue their goals, with care tailored to their specific needs.

Guiding Principles of Our Care:

• Empowerment and Autonomy:We enable service users to take an active role in decision-making about their lives.
• Diversity and Respect:We value each person’s life experience, age, gender, culture, heritage, language, beliefs, identity, and sexual orientation.
• Flexibility in Service:We offer flexible services that respond to the individual’s preferences and priorities.
• Strength-Based Approach:We concentrate on the individual’s strengths, acknowledging their expertise in their own lives.
• Inclusive Support Networks:We engage the individual’s support networks as collaborative partners when appropriate.

Our in-house training, particularly during the induction phase, is structured to connect theoretical knowledge with practical application. We inspire our entire workforce to internalise and comprehend our hybrid approach to care delivery, ensuring that our care not only meets needs but also enhances lives through a comprehensive, person-centered model.