Case Study

Gilbert is 80 and lives in a residential home, having moved from his own home a year ago after falling down the stairs. Gilbert’s son has informed staff that his father usually wears reading glasses, though recently he has not been bothering to use them. Staff were unaware that Gilbert might have an eye condition. At the time of his arrival at the home, Gilbert was happy to join in activities and was a member of the residents’ association. He regularly went on outings with the home and enjoyed the regular Thursday night Bingo. However, during the last couple of months, Gilbert has refused to attend any activities as he says that he cannot be bothered. He used to watch a lot of television but these days he says he is not interested; he has also asked for his meals to be served in his bedroom away from everyone else. He is reluctant to change his clothes when needed. A member of staff has tried to ask Gilbert if he has any problems; he refuses to answer and instead asks, ‘What are you saying?’ or just tells them to ‘go away’. A second member of staff has said she thinks Gilbert seems depressed, while other members of staff says he is either being awkward or has dementia.

1. Was this a case of ineffective practice in the promotion of the safeguarding of vulnerable adults?
2. What action could you take as a supervisor in this case?
3. What are the possible reasons for the change in Gilbert’s behaviour?
4. Who would need to be involved in making an assessment of his needs?
5. How would you go about getting an assessment for Gilbert?
6. What action should you take regarding the member of staff’s comments?

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.