In the community, health and social care practices play an essential role. Individuals are affected by a variety of conditions and are required to seek help. Caregivers who provide health and social care services must follow the principles of practice and understand procedures to protect their clients’ well-being and safety. Furthermore, to meet the needs of each user, health and social care should be delivered in a patient-centered manner. Caregivers, on the other hand, may face ethical and conflict issues when providing services.
How are support principles applied in health and social care? The main principle of health and social care practice is offering support to service users (Aveyard & Sharp 2013, p. 10). In the healthcare environment, the principle of practice must be used in a manner that promotes the safety of users while caregivers should meet every patient’s needs. Moreover, the principle of practice is used to assure that every person’s identity and culture in health and social care environment are supported. Therefore, with respect to East & West Care Home Ltd case, there is a need for planning and service delivery to meet each person’s needs. Besides, adopt the necessary technology that helps in assessing and monitoring the quality of service. Another principle of practice in health and social care setting is regular risk assessment and management to reduce risk and harm to service users (O’Connor-Fleming & Parker 2001, p. 89). Again, regular risk assessment can assist East & West Care Home Ltd to not only identify but also manage risks associated with wellbeing and safety of patients on a timely basis. Developing workers knowledge and skills is another principle of practice that supports health and social care (Gruskin, Mills & Tarantola 2007, 440). Specifically, developing workers skills can help the provider to enhance understanding of its cares in a way that they understand clinical standards and protocols. In the long-run, this can help in addressing issues of underfeeding, wrong dose of medication and mistreatment of residents.

The procedure for protecting clients, patients, and colleagues from harm

In health and social care setting, protection of clients, patients, and co-workers can be carried out in two ways; protecting them from abuse as well as harm. Harm and abuse can cause injury to patients, colleagues, and clients. Protecting service users from abuse is a multidisciplinary approach conducted by care providers to minimise and manage risk patients are exposed to. For that reason, East & West Care Home Ltd must not only identify risks but also manage them to ensure patients, colleagues and clients’ safety. Again, the Home must put necessary measures in place to safeguard every person from unlawful use of restraints. They must also take reasonable measures to identify the likelihood of abuse and prevent it and effectively respond to allegations of abuse. To safeguard East & West Care Home Ltd clients, patients and any person using their services, there is a need for induction training for carers when they commence work (Poland & Jacobson. 2007, p. 546). This would help East & West Care Home Ltd have the required understanding about health and social workplace. In particular, this involves codes of practice, standards, and rules associated with care home and thus, ensure the protection of clients, patents, and colleagues.Training would assist careers to safeguard service users from harm. Based on the case, East & West Care Home Ltd does not conduct effective recruitment process or measures against people not fit to work in the home. Hence, training would help carers to use right equipment in handling vulnerable patients while ensuring their safety (Lenze et al. 2013, p. 347). To protect vulnerable individuals, East & West Care Home Ltd has to ensure that good hygiene. Hygiene may be attained through personal cleanliness, dressing, and behavior. At East & West Care Home Ltd must understand food hygiene and any worker serving the patients should ensure that patients have a designated eating place to prevent soiling beddings. This would also ensure that all patients eat their food and minimise cases of underfeeding because during the eating time there would be a person to monitor and supervise. The East & West Care Home Ltd should also put reporting measures in place, which would help cares to identify risks, injuries, and abuse.

Benefit of following a person-centered approach in health and social care services

A person-centered approach in East & West Care Home Ltd would be important when it comes to developing focused health and social care services that meet the needs of users. For instance, health and social care workers should provide the required guidance and supervision to ensure not safety but quality services (Kogan, Wilber & Mosqueda 2016, p. 23). Moreover, the person-centered approach could assist the East & West Care Home Ltd to identify areas that need to be improved such as meeting the needs of each patient (Hagan, Sulik & Lieberman 2016, p. 835). Most importantly, the home would be able to take into account views and complaints of people about their services; investigate the conduct of its staff; and adopt robust systems to monitor the quality of services delivered. The use of person-centered approach in the East & West Care Home Ltd can help staff to meet the objective of every patient, which entails ensuring that each user is well fed and get the right medication when sick.

Ethical dilemmas and conflict

In many instances, health and social workers face issues that are conflicting. It is necessary for carers to adhere to organizational guidelines and protocols, however, for the wellbeing of the users, they are not in a position to (Brinkmann 2014, p. 1008). An ethical dilemma is developed in such a situation. Under certain conditions, conflicts can a due to beliefs, views or cultural practices between carers and users of health and social services. This can adversely affect the quality of service delivery. In the case of East & West Care Home Ltd, there are cases of ethical dilemmas. For instance, the provider has failed to respond to complained about poor services, staff errors which is attributed to inadequate understanding of clinical-care standards and knowledge that comprises the safety of patients (Kälvemark et al. 2004, p. 1077).Due to inadequate understanding of clinical-care standards and protocols, residents are given wrong doses of medications, falsify medical records is they realize there are issues of overdose and the evidence is shredded. However, East & West Care Home Ltd does not report these problems to the Care Quality Commission (CQC). This is an ethical dilemma since the provider failed to perform legal responsibilities are stipulated by the CQC. Much as the provider wants to provide health and social care services to vulnerable people, it fails to adhere to the right recruitment process that in turn affects quality service delivery (Purtilo & Doherty 2015, p. 45).


From the discussion, it clear that carers have the responsibility to deliver services to users. As such, they must adhere to the clinical-care standards and protocol, which can help them to in preventing risks and harm to patients, clients, and colleagues.


Aveyard, H. and Sharp, P., 2013. A beginner’s guide to evidence-based practice in health and social care. McGraw-Hill Education (UK).

Brinkmann, S., 2014. Interview. In Encyclopedia of Critical Psychology (pp. 1008-1010).Springer New York.

Gruskin, S., Mills, E. J., and Tarantola, D. 2007. History, principles, and practice of health andhuman rights. The Lancet, 370(9585), 449-455.

Hagan, M.J., Sulik, M.J. and Lieberman, A.F., 2016. Traumatic life events and psychopathologyin a high risk, ethnically diverse sample of young children: a person-centered approach.Journal of abnormal child psychology, 44(5), pp.833-844.

Kälvemark, S., Höglund, A. T., Hansson, M. G., Westerholm, P., and Arnetz, B. 2004. Livingwith conflicts-ethical dilemmas and moral distress in the health care system. Socialscience & medicine, 58(6), 1075-1084.

Kogan, A.C., Wilber, K. and Mosqueda, L., 2016. Person‐Centered Care for Older Adults withChronic Conditions and Functional Impairment: A Systematic Literature Review. Journalof the American Geriatrics Society, 64(1).

Lenzer, J., Hoffman, J. R., Furberg, C. D., Ioannidis, J. P., and Grp, G. P. R. W. 2013. Ensuring the integrity of clinical practice guidelines: a tool for protecting patients. BMJ-BRITISH MEDICAL JOURNAL, 347.

O’Connor-Fleming, M. L., and Parker, E. 2001. Health promotion: Principles and practice in the Australian context. Allen & Unwin.

Poland, G. A., and Jacobson, R. M. 2007. Protecting Patients from Harm. American journal of preventive medicine, 32(6), 544-546.

Purtilo, R. B., and Doherty, R. F. 2015. Ethical dimensions in the health professions. Elsevier Health Sciences.

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