Care Certificate
Course Content
- Introduction to the Care Certificate Course
- Standard 1 - Understand Your Role
- Standard 2 - Your Personal Development
- Standard 3 - Duty of Care
- Introduction to the Duty of Care Standard
- Addressing dilemmas within your duty of care
- Duty of care
- Recognising and handling comments, complaints and incidents
- Managing conflict and difficult situations
- How to deal with comments and complaints
- Supporting independence
- Incidents, Errors and Near Misses
- Standard 4 - Equality and Diversity
- Introduction to the standard on Equality and Diversity
- About equality and diversity
- The purpose of the Equality Act 2010
- Types of discrimination
- Protected characteristics
- Explaining equal opportunities
- Diversity
- Inclusion
- Prejudice
- Diversity and discrimination
- What to do if you suffer from discrimination
- The Code of Conduct
- Reducing the Likelihood of Discrimination in Care
- Information, advice and support
- Standard 5 - Working in a Person Centred Way
- Introduction to working in a person-centred way
- Working in partnership with others
- Record keeping in care
- The Care Plan
- The importance of finding out the history, preferences, wishes and needs of the individual
- Minimising environmental factors that may cause discomfort or distress
- Person centred values in practice
- Supporting individuals to minimise pain or discomfort
- Communication and Person Centred Care
- Working to promote person centred values
- Supporting individuals to plan for their future wellbeing and fulfilment, including end-of-life care
- Encouraging Person Centred Care
- Standard 6 - Communication
- Introduction to the Communication Standard
- Effective communication in the work setting
- Language and other needs in communication
- Verbal and non-verbal communication skills
- Communication
- Identifying A Complaint
- Dealing with aggression
- Defusing potentially dangerous situations
- Recognising danger signs
- Confidentiality in Care
- Standard 7 - Privacy and Dignity
- Standard 8 - Fluids and Nutrition
- Introduction to the Fluids and Nutrition Standard
- High risk groups of people for food safety
- Cross-contamination direct and indirect
- Preventing cross-contamination
- The importance of nutrition
- Guidelines for a healthy diet
- Hydration In the Elderly
- Hydration In the Elderly
- Fluids and Hydration
- Nutrition and the elderly
- Malnutrition
- Diets for people with dementia
- Standard 9 - Awareness of mental health, dementia and learning disabilities
- Introduction to standard on mental health, dementia and learning disabilities
- What is Dementia?
- Classifications of Dementia
- Early diagnosis of Dementia and reporting
- Risk factors affecting the chance of developing dementia
- Helping people with Dementia
- Things that can help people with Dementia
- Things that help the carer
- Diet, meals and Dementia
- A Healthy Body
- The Social Model of Disability
- Communication and Dementia
- The safeguarding vulnerable groups act 2006
- The Human Rights Act 1998
- Discriminatory Abuse and the Equality Act
- Mental health conditions
- MCA Assessment Criteria
- MCA Assessment
- What is mental capacity
- Where to get help
- Learning Disabilities
- Standard 10 - Safeguarding Adults
- Adult Safeguarding Standard Introduction
- What is SOVA?
- CQC or Care Quality Commission
- Protection from Harassment Act 1997
- The Sexual Offences Act 2003
- The Mental Capacity Act 2005
- The Mental Capacity Act and Deprivation of Liberty Safeguards principles
- Facts And Information About Abuse
- Who Is A Vulnerable Adult?
- Vulnerable adults and the risk of harm
- Abuse and its Indicators
- Physical Abuse
- Psychological Abuse
- Sexual Abuse
- Financial Abuse
- Neglect Self Neglect and The Act Of Omission
- Organisational abuse and Discriminatory Abuse
- Consent
- Disclosure
- The importance of individualised person-centred care to ensure an individuals safety
- Responding to suspected or disclosed abuse
- Managing risk and Multi-agency safeguarding of adults
- Reporting abuse
- Whistleblowing
- How to Whistleblow
- Serious case reviews and sources of advice and information
- Standard 11 - Safeguarding Children
- Child Protection standard introduction
- Legislation relating to Safeguarding Children
- The Acts and Safeguarding Children
- Serious Organised Crime and police Act 2005
- What is Child Abuse?
- Emotional abuse
- Physical abuse
- Sexual abuse
- Other types of child abuse
- Every Child Matters
- The rights of a child
- Neglect and the act of omission
- Radicalisation
- Working with others
- Key supporting information
- What children want from Professionals
- Protecting yourself against allegations
- Reporting child abuse
- Scottish Legislation in Care
- The Key Role of KCSIE in Child Protection in the UK
- Standard 12 - Basic Life Support
- Introduction to Basic Life Support standard
- Fears of First Aid
- Asking permission and consent to help
- Calling the Emergency Services
- Chain of Survival
- DR ABC and the ABCD'S
- Initial Assessment and Recovery Position
- Using gloves
- Adult CPR Introduction
- Adult CPR
- CPR Hand Over
- Compressions Only CPR
- Child CPR
- Child CPR Breakdown
- Infant CPR
- Drowning
- AED Introduction
- Types of AED Units
- Adult Choking
- Choking in children
- Infant Choking
- Standard 13 - Health and Safety
- Introduction to the Health and Safety standard
- Health and safety tasks that should only be carried out after special training
- Importance of Health and Safety
- What causes accidents?
- When an Accident Happens
- Accidents and sudden illness
- Health and Safety Law
- Manual handling Employee and Employer responsibility
- Workplace and personal Safety
- The Accident Triangle
- Why prevention is important and what can be done
- The 5 stages of the Risk Assessment
- What is a hazard
- Personal protective equipment (PPE)
- Working safely and securely
- Hazardous substances in your workplace
- COSHH Regulations
- Employee Duties Under COSHH
- The Fire Triangle
- Calling the Fire Service
- Evacuating in an Emergency
- Care Home Evacuation
- Good Housekeeping
- Electrical Hazards
- Managing stress
- Medication and healthcare activities and tasks
- Why Manual Handling is Important
- Manual Handling Operations Regulations 1992
- How and Why We Lift Correctly
- Before we start moving and assisting people
- LOLER and PUWER Regulations
- Other Relevant Acts
- Ability Test
- Assisted standing from a bed or seat
- Assisted Sit to Stand
- Fall Prevention
- Assisting Fallen Person
- Walking Frames
- Wheelchairs
- Standard 14 - Handling Information
- Handling information standard Introduction
- Handling information in health and social care
- GDPR Compliance
- Data Subject and Personal Data under GDPR
- The Information Commissioner's Office
- The Freedom of Information Act 2000
- Who holds personal information
- Public authorities and Freedom Of Information
- Record Keeping, Management and Responsibilities
- Reporting concerns
- Privacy Principles under GDPR
- Does GDPR apply to me
- The right to be informed
- Lawful, Fairness and Transparency
- Purpose limitation
- Data minimisation
- Data accuracy
- Storage limitation
- Data Security
- Accountability
- Standard 15 - Infection Prevention and Control
- Introduction to Infection Control
- What are Blood Borne Pathogens?
- Infection Control Legislation
- Who is at risk?
- Types of Infections
- Skin Diseases
- The Chain of infection
- First Aid and Infection Control
- Contaminated objects
- Contaminated Linen
- Cross Infection
- Example of indirect cross contamination
- How to Reduce Your Risk
- Surface Cleaning
- Hazardous products and sharps disposal
- Hand hygiene policy
- Using gloves
- Hand Washing
- Disposable Aprons
- Waterless hand gels
- Protecting Vulnerable People
- Summary and what's next
Adult Choking
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One situation you may have to deal with is dealing with someone who's choking. Now, choking is divided into two main groups. There is mild choking and severe choking. Now, mild choking is where you have a blockage in a throat, however, air can still pass through. So this person is going to be coughing, they are going to be breathing heavily, they are going to be in a lot of distress, but the air can pass through. So you will hear them making noise, you will hear them coughing, they may be able to talk. An example of a mild obstruction could be a fishbone that's caught in the throat. The procedures are to try and calm them down the best you can, allow them to cough and hopefully, they'll expel the object. If they don't, then you are going to need to get them to medical help and call the EMS, because you are not going to be able to take that obstruction out of their throat.The next group are the severe airway obstructions. Severe airway obstruction is a complete blockage in the throat. It could be they are in a restaurant and you have eaten a very large lump of steak, just swallowed it, which often happens where people are laughing or talking and eating at the same time. That can cause an obstruction or rush their food. If the lump of steak got stuck into the throat, there is no air passing. So, with this person, they are not going to be able to cough. They are going to be very, very distressed. They are going to be passing out in a very short space of time, just in a minute or just over a minute and this person is going to need help immediately. So with this person, we are going to need to approach them, get their consent. Now, one of the things you can say to someone is, "Are you choking?" It might seem a bit of an odd thing to say, but the reason you say, "Are you choking?" is we want them to get a reaction from it. If they say, "Yes," it means that they are not choking in the sense of the procedure we are going to be talking about next.If they can not answer you, then you are going to have to look for other signs. Now one of the universal signs of choking is hands to the throat. If you say, "Are you choking?" They might not, or they might indicate you to come over. Anything like this, this is all concerns and we go through within first aid. You still have to go through your first aid cycle, your consent side. But, in order to gain that consent and know they are choking, it's not only verbal, they are not going to be able to talk to you, it can be other signs that you look for. What we are going to do is do two key procedures. The first one will be five back slaps and the second one will be five abdominal thrusts and then we repeat that. With the demonstration of how to deal with choking, the first things you are looking for are signs. So, if Matt was choking, he would be having his hands to the throat and then I would ask, "Are you choking?" Now, he can not answer me, so he's going to nod. You will see it in his face, you will see him turning red, he's trying to breathe, he's going to be very distressed.So what you can then do is move through to the back blows. The first thing you do is take one arm and just lay it forward, to just lean in forward slightly. And we are going to deliver five back blows as individual blows between the shoulder blades and it will literally be one, two, three, four, five. Between each one, I'm looking down to see if the object has been expelled. If it has, I will then stop and allow him to cough. What I then do if that hasn't worked, I then need to do abdominal thrusts. So, I need to get the thumb side of my fist in against... Just above his belly button, in here. So you are not pushing on the rib cage, you are doing below the rib cage. The other hand is going right the way around and then we are giving an inward and upward motion. It would be literally in like this. Now, I won't do this fully because it would cause... Could cause him injury. So it would be literally inward one, two, three, four and five. And if that hasn't worked, I leave my arm there and go back to one, check, two, check, three, check, four, check, five. So, it's five back slaps, five abdominal thrusts and then you repeat that until the object comes out or he becomes unconscious.One advantage of having your arm around here is if he did become unconscious, you can lower him into the ground. And once you lower him to the ground, you would then start CPR at the chest compression stage. You know he's not breathing; he's been choking. So, you would start CPR chest compression stage, because the trapped air in his lungs, as you push down on the chest, the hope is, is that trapped air in the lungs will force against the object and expel it out the body. Finally, if you had to do the abdominal thrust on a pregnant lady, then you can not do it down into the stomachs, you do what's called chest thrusts. This would be exactly where we do the CPR compressions. It's fist-size straight in, in the middle of the breastbone. And you would pull through onto the chest in the same manner as you would down on the stomach, but you will push in on the chest. This is the only option you have really got because there's no other way round of doing it. If you couldn't get your arms around someone's waist, then again, you can move up here and do chest thrusts if you needed to.
Dealing with Choking: Recognizing and Responding
1. Understanding Choking
Choking can be categorized as mild or severe, depending on the extent of airway obstruction.
1.1 Mild Choking
In cases of mild choking, there's partial blockage in the throat, and the person can still cough, breathe heavily, and may even talk. Common examples include throat blockage due to a fishbone. Initial steps involve calming the person and allowing them to cough, but if the obstruction persists, seek medical help as you can't remove the object yourself.
1.2 Severe Choking
Severe choking results from a complete throat blockage, often caused by large food items. The person won't be able to cough and will rapidly deteriorate, necessitating immediate intervention.
2. Recognizing Severe Choking
To identify severe choking:
- Ask, "Are you choking?" and observe for signs.
- Signs include hands clutching the throat and difficulty breathing.
- If the person can't respond verbally, look for non-verbal cues of distress.
3. Performing Life-Saving Procedures
For severe choking, take these critical actions:
3.1 Back Blows
Deliver five back blows between the shoulder blades while ensuring the person leans forward slightly. Watch for the expelled object after each blow.
3.2 Abdominal Thrusts
Perform five abdominal thrusts by placing your thumb side just above the belly button and giving inward and upward thrusts. Alternate with back blows until the obstruction clears or the person loses consciousness.
4. Emergency CPR
If the person loses consciousness, gently lower them to the ground and initiate CPR chest compressions. The trapped air in the lungs may help expel the obstruction as you compress the chest.
5. Special Consideration for Pregnant Individuals
If dealing with choking in a pregnant person, use chest thrusts instead of abdominal thrusts, placing your fists on the middle of the breastbone and performing inward thrusts.