1.3 Reasons for decision making management practice

Course: NVQ Level 5 Diploma In Leadership & Management for Adult Care

Unit 10: Decision Making in Adult Care

LO1: Understand how to make effective and positive decisions

1.3 Reasons for decision making management practice

There are a variety of reasons for making decisions about the management of care in adult services. Some reasons include:

·         The need to preserve and improve the quality of life for people living in adult service environments;

·         The belief that adults should be able to make their own choices, including about how they want their lives expressed;

·         A desire not just to provide good care but also promote individual autonomy and responsibility within an institution or system;

·         The notion that while people may want limited support in decision making (e.g. the choice excluding younger people in the 24/7 care setting has merit, but should be gradual and with much discussion;

·         The belief that if decision-makers did not make individual decisions, they would be unaware of what decisions other people might wish to make – this allows individuals to develop a sense of ownership of their own lives;

·         The consequentialist argument that contact with individuals closest to illness or disability can encourage positive lifestyle change – such as exercise and general health promotion;

·         Local authorities may have people in their power (e.g. hearing staff) who are able to influence a range of health matters for which no person is legally or ethically competent (e.g. amputation);

·         Recent changes have introduced legal duties to provide ongoing fully accessible toilets (and individual sanitary needs). Individual managers must work alongside both their personal values and their professional values if they are to engage in decisions related to the use of exemptions; and so on.

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