Case Study

Zan is a 70-year-old gentleman who lives at home on his own. He recently had a chest infection and was admitted to hospital. He has some mobility issues but can get dressed in the morning. He is now back at home and his family do not live locally. Arrangements were made for Zan to receive home visits from carers three times a day. On recent visits Zan was not at home during lunch time.The carers became concerned and started to search for Zan. They eventually found him in his neighbour’s house having lunch. When questioned by the carers, Zan explained that it was part of his daily routine to visit his neighbour, Millie, for lunch, and that whilst alone he can’t do much, between them they get lunch together.The carers were confused when they reviewed the care plan; it clearly stated that Zan was unable to go out alone and couldn’t get through the front door as it had a large step. Zan explained that the occupational therapist only checked whether he could exit through the front door, which has a large step, and didn’t check the door by the stairs that goes straight into Millie’s house. He says that he can walk through the back door if Millie helps him, and that he would have told the occupational therapist if he had asked about Zan’s daily routine.

1. Was this a case of ineffective practice in assessment of needs?
2. What action could you take as a supervisor in this case?
3. Could anything be done to prevent this happening again?
4. Who was not involved in the care plan?

It is rare that there is just one way to respond to a scenario or situation, so do not consider that the responses you have to the above scenario will be judged as right or wrong. Share your scenario with a work colleague or friend and ask them to tell you whether they think you have responded appropriately. Ask them to challenge your response if necessary. You do not need to submit this task for assessment unless asked to do so by your assessor.